Active NPI
Gerry J Arroyo, FNP
- Family Nurse Practitioner
- Bolingbrook, IL
National Provider Identifier
1811277643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.008998
- Practice address
- 101 Lily Cache LN
Bolingbrook, IL 60440-4895 - Phone
- (331) 803-6040
- Fax
- (630) 759-2950
- NPI assigned
- Aug 24, 2011
- 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 | 209.008998 | IL | Primary |
Addresses
Primary practice location
101 Lily Cache LN
Bolingbrook, IL 60440-4895
Mailing address
1901 E Voorhees St
Take Care Health Illinois PC
Danville, IL 61834-4509
Phone (773) 742-7045
Other names 1
- Gerry J Phelps
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
| License | State | Type | Specialty |
|---|---|---|---|
| 209.008998 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Past | Accepting new patients |
Interoperability endpoints
- garroyo204973@direct.myadvocateaurora.org
Organizations & group practices 1
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.
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428451200000",
"number": "1811277643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 E VOORHEES ST",
"address_2": "TAKE CARE HEALTH ILLINOIS PC",
"city": "DANVILLE",
"state": "IL",
"postal_code": "618344509",
"telephone_number": "773-742-7045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 LILY CACHE LN",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404895",
"telephone_number": "331-803-6040",
"fax_number": "630-759-2950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARROYO",
"first_name": "GERRY",
"middle_name": "J",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-24",
"last_updated": "2015-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.008998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GERRY",
"last_name": "PHELPS",
"middle_name": "J",
"code": "1",
"type": "Former Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.