Sonya Brandon Ristine, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209028742 Issued in IL

Practice address

2550 Hauser Ross Dr Ste 325
Sycamore, IL 60178-3180

Phone

(815) 758-7700

Fax

(815) 756-6103

NPI assigned

Dec 4, 2023

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

State licenses

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1811764434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28W302 JACKSON ST",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553349",
            "telephone_number": "630-248-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 HAUSER ROSS DR STE 325",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783180",
            "telephone_number": "815-758-7700",
            "fax_number": "815-756-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISTINE",
        "first_name": "SONYA",
        "middle_name": "BRANDON",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041263640",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209028742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reflection Is Healing Counseling Services
• Mark Alan Regnier, M.D.
• Kaitlyn Madonna Reif, DPT
• Donna Ann Rennard, LCPC
• Michael Dean Reser, P.T.
• Andi Marie Rivers, FNP-BC
• Nicole Rodiek, APRN, CNP
• Mel Roethlisberger, LSW
• Dahlia Roman, MSW, LSW, CADC
• Rachael Anne Romba, MSW

• Nurse Practitioner in Sycamore, IL
• Providers in Sycamore, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.