Individual provider Active NPI

Debra Jean Hulford, NURSE PRACTITIONER

  • Nurse Practitioner
  • Orland Park, IL
National Provider Identifier
1699855031
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209005607 Issued in IL
Practice address
16450 104TH Ave
Suite #101
Orland Park, IL 60467-5441
Phone
(708) 349-0070
Fax
(708) 349-0077
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209005607 IL Primary

Addresses

Primary practice location

16450 104TH Ave
Suite #101
Orland Park, IL 60467-5441

Mailing address

17910 Hood Ave
Homewood, IL 60430-1911
Phone (708) 224-9479

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
I20070131000727 IL Practitioner - Nurse Practitioner 2163424383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unity Hospice of Chicagoland LLCGroup PAC ID 0840210019, 19 clinicians

Practice addresses (Care Compare)

3232 S Martin Luther King Dr
Chicago, IL 60616-3924
Phone (312) 427-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
William I Crevier MD LTD PastSince Dec 1, 2005 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1699855031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17910 HOOD AVE",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301911",
            "telephone_number": "708-224-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16450 104TH AVE",
            "address_2": "SUITE #101",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675441",
            "telephone_number": "708-349-0070",
            "fax_number": "708-349-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULFORD",
        "first_name": "DEBRA",
        "middle_name": "JEAN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209005607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.