Active NPI
Nurturecare Health LLC
- Primary Care Nurse Practitioner
- Dolton, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leslie S Williams, FNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Family Nurse Practitioner
- Dolton, IL
- NPI 1487026134
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.