Active NPI
Amy Lynette Hiller, APN
- Acute Care Nurse Practitioner
- Chicago, IL
National Provider Identifier
1821221474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 209007752
- Practice address
- 1801 W Taylor St
Chicago, IL 60612-4795 - Phone
- (312) 996-4979
- NPI assigned
- Aug 31, 2009
- Last updated
- Jul 21, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 209007752 | IL | Primary |
| Registered Nurse | 163W00000X | 041330870 | IL |
Addresses
Primary practice location
1801 W Taylor St
Chicago, IL 60612-4795
Mailing address
845 S Damen Ave # Mc802
Chicago, IL 60612-3727
Phone (773) 550-1335
Other practice location 1
251 E Huron St Ste 16-738
Chicago, IL 60611-2908
Phone (312) 926-5924
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041330870 | IL | MD | Registered Nurse |
| 209007752 | IL | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563667200000",
"number": "1821221474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "845 S DAMEN AVE # MC802",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123727",
"telephone_number": "773-550-1335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 W TAYLOR ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606124795",
"telephone_number": "312-996-4979"
}
],
"practiceLocations": [
{
"address_1": "251 E Huron St Ste 16-738",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606112908",
"country_code": "US",
"telephone_number": "312-926-5924",
"fax_number": "312-926-6134",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HILLER",
"first_name": "AMY",
"middle_name": "LYNETTE",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-31",
"last_updated": "2019-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "IL",
"license": "209007752",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041330870",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.