Individual provider Active NPI

Ria Mara L Briz, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Orland Park, IL
National Provider Identifier
1679280838
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209026198 Issued in IL
Practice address
14315 108TH Ave Ste 215
Orland Park, IL 60467-5701
Phone
(708) 966-0993
NPI assigned
Oct 27, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 209026198 IL Primary

Addresses

Primary practice location

14315 108TH Ave Ste 215
Orland Park, IL 60467-5701

Mailing address

17011 S Creighton Dr
Lockport, IL 60441-1326
Phone (708) 527-7665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230908000829 IL Practitioner - Nurse Practitioner 8729442884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Institute of Neurobehavior Services SCGroup PAC ID 7618107608, 9 clinicians

Practice addresses (Care Compare)

14315 S 108TH Ave
Suite 215
Orland Park, IL 60462-5701
Phone (708) 586-9751

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209026198ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Institute of Neurobehavior Services SC Single Specialty CurrentSince Jul 1, 2023 Accepting new patients

Locations

14315 108th Ave
Ste 215
Orland Park, IL 60467
Phone (708) 586-9751

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1679280838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17011 S CREIGHTON DR",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604411326",
            "telephone_number": "708-527-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14315 108TH AVE STE 215",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675701",
            "telephone_number": "708-966-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIZ",
        "first_name": "RIA MARA",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209026198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.