Individual provider Active NPI

Lorna Davis, CNM

  • Advanced Practice Midwife
  • Berwyn, IL
National Provider Identifier
1720097538
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
209-003582 Issued in IL
Practice address
6201 Roosevelt Rd
Berwyn, IL 60402-1108
Phone
(708) 386-0845
NPI assigned
Aug 8, 2006
Last updated
Dec 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 209-003582 IL Primary

Addresses

Primary practice location

6201 Roosevelt Rd
Berwyn, IL 60402-1108

Mailing address

2600 N Lakeview Ave Apt 4F
Chicago, IL 60614-1834

Other practice location 1

3000 N Halsted St
Chicago, IL 60657-5188
Phone (773) 405-1383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
209-003582ILMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
PCC Community Wellness Center CurrentSince Dec 17, 2010 Accepting new patients
PCC Community Wellness Center CurrentSince Dec 17, 2010 Accepting new patients
West Suburban Hospital Medical Center Past Accepting new patients
PCC Community Wellness Center Past Accepting new patients
Advocate North Side Health Network Past Accepting new patients

Locations

6201 Roosevelt Rd
Berwyn, IL 60402
Phone (708) 386-0845

14 Lake St
Oak Park, IL 60302
Phone (708) 383-0113

Interoperability endpoints

  • Direct secure messaging: lorna.davis.1@13158.direct.athenahealth.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, 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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1720097538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 N LAKEVIEW AVE APT 4F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 ROOSEVELT RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604021108",
            "telephone_number": "708-386-0845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 N Halsted St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606575188",
            "country_code": "US",
            "telephone_number": "773-405-1383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LORNA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209-003582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, IL

Sources for this page

Verify at the official NPI Registry.