Active NPI
Catherine Rose Lara, NURSE PRACTITIONER
- Nurse Practitioner
- Crown Point, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71009690A
- Practice address
- 12750 St Francis Dr Ste 320
Crown Point, IN 46307-0264 - Phone
- (219) 662-0077
- Fax
- (219) 662-9496
- NPI assigned
- Jun 4, 2016
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209014104 | IL | |
| Nurse Practitioner | 363L00000X | 71009690A | IN | Primary |
Addresses
Primary practice location
12750 St Francis Dr Ste 320
Crown Point, IN 46307-0264
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other practice location 1
9401 S Pulaski Rd
Evergreen Park, IL 60805-1924
Phone (708) 425-6225
Other practice location 2
1205 S Main St Ste 101
Crown Point, IN 46307-3677
Phone (219) 662-0077
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | clara244496@Direct.FranciscanAlliance.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1205 S Main St
Suite 101
Crown Point, IN 46307-3677
Phone (219) 662-0077
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71009690A | IN | MD | Nurse Practitioner |
| 209014104 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Physician Network | Current | Accepting new patients | |
| Franciscan Physician Network | Current | Accepting new patients | |
| Eaves Health Partners PLLC | Current | Accepting new patients | |
| Sandeep Chandra MD SC | Current | Accepting new patients | |
| St Steven Medical Center LTD | Current | Accepting new patients | |
| Vitae Health Medical Illinois, PLLC | Current | Accepting new patients |
Locations
5331 W 79th St
Burbank, IL 60459
Phone (704) 422-9577
303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347
35318 Eagle Way
Chicago, IL 60678
333 Dixie Hwy
Chicago Hts, IL 60411
Phone (708) 756-0100
9401 S Pulaski Rd
Ste 203
Evergreen Pk, IL 60805
Phone (708) 425-6225
940 Maple Rd
Homewood, IL 60430
Phone (708) 799-0244
3800 W 203rd St
Ste 204
Olympia Fields, IL 60461
Phone (708) 679-2670
3700 W 203rd St
Ste 301
Olympia Flds, IL 60461
Phone (708) 679-2850
5151 Church St
Skokie, IL 60077
Phone (773) 436-6600
3450 Oakton St
Ste 300
Skokie, IL 60076
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
1205 S Main St
Ste 101
Crown Point, IN 46307
Phone (219) 662-0077
12750 Saint Francis Dr
Ste 320
Crown Point, IN 46307
Phone (219) 662-0077
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
-
- Clinical Social Worker
- Skokie, IL
- NPI 1639847551
-
- Internal Medicine Physician
- Burbank, IL
- NPI 1407897218
-
- Internal Medicine Physician
- Oak Lawn, IL
- NPI 1902958564
-
- Internal Medicine Physician
- Skokie, IL
- NPI 1174013452
-
- Clinic/Center
- Lafayette, IN
- NPI 1992543250
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Crown Point, IN
- NPI 1336205798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705017600000",
"number": "1841649480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12750 ST FRANCIS DR STE 320",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463070264",
"telephone_number": "219-662-0077",
"fax_number": "219-662-9496"
}
],
"practiceLocations": [
{
"address_1": "9401 S Pulaski Rd",
"address_purpose": "LOCATION",
"city": "Evergreen Park",
"state": "IL",
"postal_code": "608051924",
"country_code": "US",
"telephone_number": "708-425-6225",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1205 S Main St Ste 101",
"address_purpose": "LOCATION",
"city": "Crown Point",
"state": "IN",
"postal_code": "463073677",
"country_code": "US",
"telephone_number": "219-662-0077",
"fax_number": "219-681-6701",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LARA",
"first_name": "CATHERINE",
"middle_name": "ROSE",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-04",
"last_updated": "2024-01-12",
"certification_date": "2024-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209014104",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71009690A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "clara244496@Direct.FranciscanAlliance.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1205 S Main St Ste 101",
"city": "Crown Point",
"state": "IN",
"country_code": "US",
"postal_code": "463073677",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.