Individual provider Active NPI

Beth Ann Avanzado, MSN, APN, FNP-C

  • Family Nurse Practitioner
  • Elmhurst, IL
National Provider Identifier
1861862658
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277002035 Issued in IL
Practice address
133 E Brush Hill Rd Unit 301
Elmhurst, IL 60126-5661
Phone
(630) 832-2183
NPI assigned
Oct 6, 2015
Last updated
Apr 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 277002035 IL
Family Nurse Practitioner 363LF0000X 277002035 IL Primary

Addresses

Primary practice location

133 E Brush Hill Rd Unit 301
Elmhurst, IL 60126-5661

Mailing address

120 W 22ND St Ste 200
Oak Brook, IL 60523-1563
Phone (630) 573-5000

Other practice location 1

18601 North Creek Drive
Tinley Park, IL 60477
Phone (800) 509-2800

Other names 1

  • Ms. Beth Ann Labbe Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address credentialing@nephdocs.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160526001288 IL Practitioner - Nurse Practitioner 7618267063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14301 Independence Way
Homer Glen, IL 60491-7210
Phone (800) 509-2800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rest Haven Illiana Christian Convalescent Home CurrentSince May 1, 2016 Accepting new patients
Rest Haven Illiana Christian Convalescent Home CurrentSince May 1, 2016 Accepting new patients
Linda Roberts & Associates Inc Past Accepting new patients

Locations

14301 Independence Way
Homer Glen, IL 60491
Phone (708) 331-0400

18601 North Creek Dr
Tinley Park, IL 60477
Phone (708) 342-8100

18670 Graphics Dr
Ste 106
Tinley Park, IL 60477

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1861862658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 22ND ST STE 200",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231563",
            "telephone_number": "630-573-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E BRUSH HILL RD UNIT 301",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265661",
            "telephone_number": "630-832-2183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18601 North Creek Drive",
            "address_purpose": "LOCATION",
            "city": "Tinley Park",
            "state": "IL",
            "postal_code": "60477",
            "country_code": "US",
            "telephone_number": "800-509-2800",
            "fax_number": "708-877-4818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVANZADO",
        "first_name": "BETH ANN",
        "name_prefix": "Ms.",
        "credential": "MSN, APN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-06",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277002035",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277002035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@nephdocs.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "120 W 22nd St",
            "city": "Oak Brook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605231557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BETH ANN",
            "last_name": "LABBE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elmhurst, IL

Sources for this page

Verify at the official NPI Registry.