Anna-Michelle Visak, N.P.-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209013448 Issued in IL

Practice address

2171 W Executive Dr
Addison, IL 60101-5625

Phone

(630) 317-3300

NPI assigned

Dec 11, 2015

Last updated

Dec 11, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: amvisk@gpl-in.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Family Solutions for Seniors Inc

  • Nursing Care Agency
  • Addison, IL
  • NPI 1407327943
  NPD (past)
• Green Pediatrics LLC

  • Pediatrics Physician
  • Saint John, IN
  • NPI 1922462811
  NPD (past)

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449792000000",
    "number": "1811362197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 N TRUE ST",
            "city": "GRIFFITH",
            "state": "IN",
            "postal_code": "463192677",
            "telephone_number": "219-381-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2171 W EXECUTIVE DR",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601015625",
            "telephone_number": "630-317-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISAK",
        "first_name": "ANNA-MICHELLE",
        "credential": "N.P.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-11",
        "last_updated": "2015-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209013448",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28214854A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shini Johny Varghese, RT
• Vascular Diagnostic LLC
• Mohammad Vaseemuddin, M.D.
• Asha N. Vijayakumar, MD
• Amritvir Kaur Virk, DDS
• Beatrice Vital
• James A. Vitale, O.D.
• Jessica A Vitale, OD
• Aamir Wahab, DDS
• Waite Lifted Counseling PLLC

• Family Nurse Practitioner in Addison, IL
• Providers in Addison, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.

Verify at the official NPI Registry.