Active NPI
Nila Dickman, CNP
- Family Nurse Practitioner
- Lake Zurich, IL
National Provider Identifier
1679680425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Practice address
- 910 North Rand Road
Lake Zurich, IL 60047 - Phone
- (866) 825-3227
- Fax
- (484) 351-3800
- NPI assigned
- Aug 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | IL | Primary |
Addresses
Primary practice location
910 North Rand Road
Lake Zurich, IL 60047
Mailing address
1855 Ashford LN
Crystal Lake, IL 60014-2014
Phone (815) 477-2788
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679680425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1855 ASHFORD LN",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600142014",
"telephone_number": "815-477-2788",
"fax_number": "815-444-1618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 NORTH RAND ROAD",
"city": "LAKE ZURICH",
"state": "IL",
"postal_code": "60047",
"telephone_number": "866-825-3227",
"fax_number": "484-351-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKMAN",
"first_name": "NILA",
"name_prefix": "Ms.",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Zurich, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.