Individual provider Active NPI

Tanya R. Sorrell, PHD, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1710930185
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP1834 Issued in AZ
Practice address
1645 W Jackson Blvd Ste 302
Chicago, IL 60612-3227
Phone
(928) 304-3866
Fax
(615) 622-8760
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN124885 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0000100 CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209.021792 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP1834 AZ Primary

Addresses

Primary practice location

1645 W Jackson Blvd Ste 302
Chicago, IL 60612-3227

Mailing address

3525 W Oxford Ave
Denver, CO 80236-3106
Phone (303) 315-6150

Other practice location 1

345 N Canal St Apt 908
Chicago, IL 60606-1360
Phone (312) 563-9057

Other identifiers 1

IdentifierTypeStateIssuer
811093OtherAZAHCCCS

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
I20200929000566 IL Practitioner - Nurse Practitioner 2668510595 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
RN124885AZMDRegistered Nurse
AP1834AZMDPsychiatric/Mental Health Nurse Practitioner
0000100COMDPsychiatric/Mental Health Nurse Practitioner
209.021792ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront-Rosenzweig Medical Services Professional Corporation CurrentSince Jun 23, 2025 Accepting new patients
Rush University Medical Group CurrentSince Aug 6, 2020 Accepting new patients
Access Telecare, PLLC CurrentSince Jun 21, 2025 Accepting new patients
Yuma Treatment Center LLC PastSince Dec 19, 2010 Accepting new patients

Locations

75 Remittance Dr
Dept 1611
Chicago, IL 60675

2150 W Harrison St
Chicago, IL 60612
Phone (312) 563-1212

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1645 W Jackson Blvd
Ste 302
Chicago, IL 60612
Phone (312) 563-9012

401 9th St
Lacon, IL 61540
Phone (309) 246-2175

600 S 2nd St
Ste 404
Springfield, IL 62704
Phone (800) 318-3963

Interoperability endpoints

  • Direct secure messaging: tsorrell164548@direct.rush.rush-health.com

Organizations & group practices 5

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1710930185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 W OXFORD AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802363106",
            "telephone_number": "303-315-6150",
            "fax_number": "303-797-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 W JACKSON BLVD STE 302",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123227",
            "telephone_number": "928-304-3866",
            "fax_number": "615-622-8760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 N Canal St Apt 908",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606061360",
            "country_code": "US",
            "telephone_number": "312-563-9057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SORRELL",
        "first_name": "TANYA",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "PHD, NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN124885",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "0000100",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.021792",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP1834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "811093",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.