Organization Active NPI

Nurturecare Health LLC

  • Primary Care Nurse Practitioner
  • Dolton, IL
National Provider Identifier
1871084467
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
NURTURECARE HEALTH LLC
Practice address
14308 Minerva Ave
Dolton, IL 60419-1343
Phone
(708) 953-5192
NPI assigned
May 20, 2018
Last updated
Sep 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Authorized official

Name
Leslie S Williams, FNPNPI 1487026134
Title
Advanced Practice Nurse
Phone
(708) 953-5192

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X NU Primary

Addresses

Primary practice location

14308 Minerva Ave
Dolton, IL 60419-1343

Mailing address

155 Harvey Dr
Waterloo, IA 50701-2313
Phone (708) 953-5192

Other practice location 1

155 Harvey Dr
Waterloo, IA 50701-2313
Phone (708) 953-5192

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1526774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1871084467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 HARVEY DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507012313",
            "telephone_number": "708-953-5192",
            "fax_number": "318-252-4687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14308 MINERVA AVE",
            "city": "DOLTON",
            "state": "IL",
            "postal_code": "604191343",
            "telephone_number": "708-953-5192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Harvey Dr",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "IA",
            "postal_code": "507012313",
            "country_code": "US",
            "telephone_number": "708-953-5192",
            "fax_number": "319-252-4687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NURTURECARE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-20",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADVANCED PRACTICE NURSE",
        "authorized_official_telephone_number": "708-953-5192",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dolton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.