Individual provider Active NPI

Alena V Leonova, APN. NP-C

  • Family Nurse Practitioner
  • Naperville, IL
National Provider Identifier
1730632316
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209014616 Issued in IL
Practice address
1331 W 75TH St
Suite 303
Naperville, IL 60540-9336
Phone
(630) 652-0606
NPI assigned
Jul 29, 2016
Last updated
May 2, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209014616 IL Primary

Addresses

Primary practice location

1331 W 75TH St
Suite 303
Naperville, IL 60540-9336

Mailing address

1331 W 75TH St
Suite 303
Naperville, IL 60540-9336
Phone (630) 652-0606

Other names 1

  • Miss Alena Liaonava Former name

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
I20161121000667 IL Practitioner - Nurse Practitioner 2769761410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diane L Ozog, MDSCGroup PAC ID 3274570510, 2 clinicians

Practice addresses (Care Compare)

1288 Rickert Dr
Suite 100
Naperville, IL 60540-8901
Phone (630) 652-0606

Hospital & facility affiliations

National Provider Directory

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

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1730632316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 W 75TH ST",
            "address_2": "SUITE 303",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605409336",
            "telephone_number": "630-652-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 W 75TH ST",
            "address_2": "SUITE 303",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605409336",
            "telephone_number": "630-652-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONOVA",
        "first_name": "ALENA",
        "middle_name": "V",
        "name_prefix": "Miss",
        "credential": "APN. NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-29",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209014616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALENA",
            "last_name": "LIAONAVA",
            "prefix": "MISS",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.