Individual provider Active NPI

Shea Dignan

  • Home Health Registered Nurse
  • Burr Ridge, IL
National Provider Identifier
1740748631
Registry record updated Mar 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
041445426 Issued in IL
Practice address
3 Brighton PL
Burr Ridge, IL 60527-5751
Phone
(630) 669-7410
NPI assigned
Mar 9, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 041445426 IL Primary

Addresses

Primary practice location

3 Brighton PL
Burr Ridge, IL 60527-5751

Mailing address

300 Village Cir Unit 209
Willow Springs, IL 60480-1814
Phone (708) 526-3905

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
041445426ILMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1552089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552089600000",
    "number": "1740748631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 VILLAGE CIR UNIT 209",
            "city": "WILLOW SPRINGS",
            "state": "IL",
            "postal_code": "604801814",
            "telephone_number": "708-526-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BRIGHTON PL",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275751",
            "telephone_number": "630-669-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGNAN",
        "first_name": "SHEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-09",
        "last_updated": "2019-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "IL",
            "license": "041445426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burr Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2019; 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.