Individual provider Active NPI

Elizabette Nava, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1861970642
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209017762 Issued in IL
Practice address
3023 N Clark St Ste 593
Chicago, IL 60657-5200
Phone
(205) 427-9243
NPI assigned
Aug 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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 209.017762 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209017762 IL Primary

Addresses

Primary practice location

3023 N Clark St Ste 593
Chicago, IL 60657-5200

Mailing address

3023 N Clark St Ste 593
Chicago, IL 60657-5200
Phone (205) 427-9243

Other practice location 1

4747 W Cermak Rd
Cicero, IL 60804-2508
Phone (708) 656-4766

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
I20191120000189 IL Practitioner - Nurse Practitioner 5597197145 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.017762ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inner-City Muslim Action Network CurrentSince Feb 9, 2021 Accepting new patients
Inner-City Muslim Action Network CurrentSince Feb 9, 2021 Accepting new patients
Stellar Home Network CurrentSince Oct 1, 2023 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Oct 9, 2019 Accepting new patients
The Board of Trustees of the University of Illinois Past Accepting new patients

Locations

2749 W 63rd St
Chicago, IL 60629
Phone (773) 434-4626

3530 W Peterson Ave
Ste 201
Chicago, IL 60659
Phone (847) 261-2541

2744 W 63rd St
Chicago, IL 60629
Phone (773) 434-4626

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1861970642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 N CLARK ST STE 593",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575200",
            "telephone_number": "205-427-9243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 N CLARK ST STE 593",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575200",
            "telephone_number": "205-427-9243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4747 W Cermak Rd",
            "address_purpose": "LOCATION",
            "city": "Cicero",
            "state": "IL",
            "postal_code": "608042508",
            "country_code": "US",
            "telephone_number": "708-656-4766",
            "fax_number": "708-652-4745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAVA",
        "first_name": "ELIZABETTE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-02",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.017762",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209017762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.