Individual provider Active NPI

Laurie A Stewart, WHNP

  • Women's Health Nurse Practitioner
  • Lagrange, IL
National Provider Identifier
1790062032
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
209.003350 Issued in IL
Practice address
5201 South Willow Srings Road
Ste 490
Lagrange, IL 60525-6548
Phone
(708) 352-4630
NPI assigned
Nov 15, 2011
Sex
Female
Sole proprietor
No

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.003350ILMDWomen's Health Nurse Practitioner

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 209.003350 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

5201 South Willow Srings Road
Ste 490
Lagrange, IL 60525-6548

Mailing address

5201 South Willow Srings Road
Ste 490
Lagrange, IL 60525
Phone (708) 352-4630

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 19, 2017.

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1790062032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 SOUTH WILLOW SRINGS ROAD",
            "address_2": "STE 490",
            "city": "LAGRANGE",
            "state": "IL",
            "postal_code": "60525",
            "telephone_number": "708-352-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 SOUTH WILLOW SRINGS ROAD",
            "address_2": "STE 490",
            "city": "LAGRANGE",
            "state": "IL",
            "postal_code": "605256548",
            "telephone_number": "708-352-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "LAURIE",
        "middle_name": "A",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-15",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IL",
            "license": "209.003350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.

Verify at the official NPI Registry.