Individual provider Active NPI

Carol Ann Sotir

  • Family Nurse Practitioner
  • Plainfield, IL
National Provider Identifier
1770085250
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.017249 Issued in IL
Practice address
14404 S Maple Court
Plainfield, IL 60544
Phone
(708) 770-9227
NPI assigned
Mar 1, 2018
Last updated
Jun 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.017249 IL Primary

Addresses

Primary practice location

14404 S Maple Court
Plainfield, IL 60544

Mailing address

14404 S Maple Court
Plainfield, IL 60544
Phone (708) 770-9227

Other practice location 1

2171 executive drive
addison, IL 60101
Phone (630) 953-3660

Medicare participation

Medicare enrollment files
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180627001863 IL Practitioner - Nurse Practitioner 1052558202 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.017249ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Solutions for Seniors Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1770085250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14404 S MAPLE COURT",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "60544",
            "telephone_number": "708-770-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14404 S MAPLE COURT",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "60544",
            "telephone_number": "708-770-9227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2171 executive drive",
            "address_purpose": "LOCATION",
            "city": "addison",
            "state": "IL",
            "postal_code": "60101",
            "country_code": "US",
            "telephone_number": "630-953-3660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOTIR",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.017249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

Verify at the official NPI Registry.