Erica Jane Gaddy Aprn

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

ERICA JANE GADDY APRN

Practice address

60 Revere Dr Ste 100
Northbrook, IL 60062-1590

Phone

(224) 306-1879

NPI assigned

Aug 12, 2020

Last updated

Aug 12, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Erica Gaddy, APRN

Title

Owner

Phone

(224) 306-1879

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jet Gadisson, DNP

  • Nurse Practitioner
  • Westmont, IL
  • NPI 1609205657
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1669083739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 REVERE DR STE 100",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621590",
            "telephone_number": "224-306-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 REVERE DR STE 100",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621590",
            "telephone_number": "224-306-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICA JANE GADDY APRN",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "GADDY",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-306-1879",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12779892",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Fae Epstein Giles, LCSW
• Michael Allen Epstein, M.D.
• Erica C. Ghignone, MD, LLC
• Erica Gaddy Aprn
• Erica Ghignone, MD, LLC
• Kristine Erickson, AU.D., CCC-A
• Shannon Ericson, MSW
• Kaylee Nicole Ernst, M.S., NCC, LPC
• Joceline Escobar
• Richele Aurea Amon Escobar

• Psychiatry Physician in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.