Individual provider Active NPI

Nancy Basuel

  • Nurse's Aide
  • Des Plaines, IL
National Provider Identifier
1720526296
Registry record updated Feb 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
B240-6257-5962 Issued in IL
Practice address
9273 Fairway Dr Apt 412
Des Plaines, IL 60016-1722
Phone
(773) 577-3153
NPI assigned
Feb 5, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X B240-6257-5962 IL Primary

Addresses

Primary practice location

9273 Fairway Dr Apt 412
Des Plaines, IL 60016-1722

Mailing address

9273 Fairway Dr. 412
Des Plaines, IL 60014
Phone (773) 577-3153

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
B240-6257-5962ILMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1486252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486252800000",
    "number": "1720526296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9273 FAIRWAY DR. 412",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "60014",
            "telephone_number": "773-577-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9273 FAIRWAY DR APT 412",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161722",
            "telephone_number": "773-577-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASUEL",
        "first_name": "NANCY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-05",
        "last_updated": "2017-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "IL",
            "license": "B240-6257-5962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.