Active NPI
Nancy B Doan, OTR
- Occupational Therapist
- Evanston, IL
National Provider Identifier
1760027205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056009848
- Practice address
- 355 Ridge Ave
Evanston, IL 60202-3328 - Phone
- (847) 316-4000
- NPI assigned
- Nov 7, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056009848 | IL | Primary |
Addresses
Primary practice location
355 Ridge Ave
Evanston, IL 60202-3328
Mailing address
1660 N Hudson Ave Apt 2J
Chicago, IL 60614-5664
Phone (214) 500-8955
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1206 | Other | BIRTHDAY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | NANCY.DOAN@AMITAHEALTH.ORG | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 056009848 | IL | MD | Occupational Therapist |
Interoperability endpoints
- nancy.doan@amitahealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573084800000",
"number": "1760027205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1660 N HUDSON AVE APT 2J",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606145664",
"telephone_number": "214-500-8955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 RIDGE AVE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602023328",
"telephone_number": "847-316-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOAN",
"first_name": "NANCY",
"middle_name": "B",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-07",
"last_updated": "2019-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056009848",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BIRTHDAY",
"identifier": "1206",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "NANCY.DOAN@AMITAHEALTH.ORG",
"affiliation": "N",
"endpointDescription": "WORK EMAIL",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "EMAIL",
"address_1": "355 Ridge Ave",
"city": "Evanston",
"state": "IL",
"country_code": "US",
"postal_code": "602023328",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.