Individual provider Active NPI

Victoria M Venturella, FNP-BC

  • Nurse Practitioner
  • Harvey, IL
National Provider Identifier
1750625562
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209010202 Issued in IL
Practice address
1 Ingalls Dr
Harvey, IL 60426-3558
Phone
(708) 333-2300
NPI assigned
Nov 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5005921 NC
Family Nurse Practitioner 363LF0000X 209010202 IL
Family Nurse Practitioner 363LF0000X 71004297A IN
Nurse Practitioner 363L00000X 209010202 IL Primary

Addresses

Primary practice location

1 Ingalls Dr
Harvey, IL 60426-3558

Mailing address

11001 Deer Creek Dr
Crown Point, IN 46307-7141
Phone (312) 848-1410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130506000041 IN Practitioner - Nurse Practitioner 5092952309 Reassigns benefits to 1 organization
I20170110001507 IL Practitioner - Nurse Practitioner 5092952309 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209010202ILMDNurse Practitioner
5005921NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harvey Emergency Physicians, PLLC Nurse Practitioner CurrentSince Aug 11, 2019 Accepting new patients
Community Care Network Inc Nurse Practitioner CurrentSince Jun 1, 2015 Accepting new patients
The Lutheran University Association Inc. Past Accepting new patients

Locations

1600 Torrence Ave
Calumet City, IL 60409
Phone (708) 730-1300

1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300

1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

3800 Saint Mary Rd
Ste 103
Valparaiso, IN 46383
Phone (219) 464-2123

Interoperability endpoints

  • Direct secure messaging: vventurellaapn202992@uchospital.direct-ci.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1750625562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 DEER CREEK DR",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077141",
            "telephone_number": "312-848-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 INGALLS DR",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604263558",
            "telephone_number": "708-333-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENTURELLA",
        "first_name": "VICTORIA",
        "middle_name": "M",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-16",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5005921",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209010202",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71004297A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209010202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, IL

Sources for this page

Verify at the official NPI Registry.