Individual provider Active NPI

Margaret Bavis

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1881017309
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209-003656 Issued in IL
Practice address
2611 West Chicago Ave
Community Health
Chicago, IL 60622
Phone
(773) 395-9900
NPI assigned
Feb 4, 2014
Last updated
Jun 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209-003656 IL Primary

Addresses

Primary practice location

2611 West Chicago Ave
Community Health
Chicago, IL 60622

Mailing address

2611 West Chicago Ave
Community Health
Chicago, IL 60622

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250415002520 IL Order and Referring Only - Nurse Practitioner 3173048873

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209-003656ILMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: margaret.bavis.1@3547.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1881017309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 WEST CHICAGO AVE",
            "address_2": "COMMUNITY HEALTH",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 WEST CHICAGO AVE",
            "address_2": "COMMUNITY HEALTH",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60622",
            "telephone_number": "773-395-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAVIS",
        "first_name": "MARGARET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-04",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209-003656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.