Christy O Egharevba

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

209029811 Issued in IL

Practice address

9 Sparrow Rd
Carpentersville, IL 60110-2256

Phone

(708) 743-2062

NPI assigned

Aug 15, 2024

Sex

Female

Sole proprietor

Yes

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.

• Yusuf Salah LLC

  • Family Nurse Practitioner
  • Palos Heights, IL
  • NPI 1982254850

  IL, Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Yusuf Salah LLC 45 clinicians

Practice addresses (Care Compare)

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 15, 2024.

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1740012947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SPARROW RD",
            "city": "CARPENTERSVILLE",
            "state": "IL",
            "postal_code": "601102256",
            "telephone_number": "708-743-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 SPARROW RD",
            "city": "CARPENTERSVILLE",
            "state": "IL",
            "postal_code": "601102256",
            "telephone_number": "708-743-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGHAREVBA",
        "first_name": "CHRISTY",
        "middle_name": "O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209029811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Children'S Home and Aid
• Comm Unit SCH Dist 300
• Alice Crawford, LCPC
• Cusd 300
• Dadamo LLC
• Lemmy Egharevba
• Jamie Ehlers
• Emerge and See Psychonautics, PLLC
• Kevin James Emery, M.T.
• Paige L Erland, ATC

• All providers in Carpentersville, IL
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.