Active NPI
Janis Noone, APN
- Family Nurse Practitioner
- Western Springs, IL
National Provider Identifier
1760913883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209006492
- Practice address
- 4700 Gilbert Ave
Suite 52, 51
Western Springs, IL 60558-1753 - Phone
- (708) 387-1737
- Fax
- (708) 794-8672
- NPI assigned
- Mar 21, 2017
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209006492 | IL | Primary |
Addresses
Primary practice location
4700 Gilbert Ave
Suite 52, 51
Western Springs, IL 60558-1753
Mailing address
4700 Gilbert Ave
Suite 52, 51
Western Springs, IL 60558-1753
Phone (708) 387-1737
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209006492 | Medicaid | IL |
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 |
|---|---|---|---|
| 209006492 | IL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490054400000",
"number": "1760913883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 GILBERT AVE",
"address_2": "SUITE 52, 51",
"city": "WESTERN SPRINGS",
"state": "IL",
"postal_code": "605581753",
"telephone_number": "708-387-1737",
"fax_number": "708-794-8672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 GILBERT AVE",
"address_2": "SUITE 52, 51",
"city": "WESTERN SPRINGS",
"state": "IL",
"postal_code": "605581753",
"telephone_number": "708-387-1737",
"fax_number": "708-794-8672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOONE",
"first_name": "JANIS",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-21",
"last_updated": "2017-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209006492",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209006492",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Western Springs, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.