Individual provider Active NPI

Latrisha Stokes, FNP-C

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1891265898
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209018904 Issued in IL
Practice address
1900 W Polk St
Chicago, IL 60612-3723
Phone
(312) 550-0332
NPI assigned
Dec 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041383562 IL
Family Nurse Practitioner 363LF0000X 209018904 IL Primary

Addresses

Primary practice location

1900 W Polk St
Chicago, IL 60612-3723

Mailing address

14329 California Ave
Blue Island, IL 60406-3328
Phone (708) 829-0213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190515001621 IL Practitioner - Nurse Practitioner 5193068138 Reassigns benefits to 1 organization
I20210218001760 IN Practitioner - Nurse Practitioner 5193068138 Reassigns benefits to 1 organization
I20260601002061 TX Practitioner - Nurse Practitioner 5193068138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13 Cottage St
Natick, MA 01760-5817

184 Kent Ave
Apt A306
Brooklyn, NY 11249-3118

3830 Kings LN
Dover, PA 17315-3695

4600 Bohannon Dr
Suite 100
Menlo Park, CA 94025-1037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
041383562ILMDRegistered Nurse
209018904ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC CurrentSince Jun 1, 2019 Accepting new patients
Aims-Med, LLC CurrentSince Feb 1, 2021 Accepting new patients
Aims, LLC CurrentSince Feb 1, 2021 Accepting new patients
Vpa PC CurrentSince Jun 1, 2019 Accepting new patients

Locations

417 S Whitlock St
Bremen, IN 46506
Phone (574) 546-0330

9330 Broadway
Crown Point, IN 46307
Phone (219) 648-2400

111 E 3rd St
Unit 764
Mishawaka, IN 46546

1625 E Jefferson Blvd
Mishawaka, IN 46545
Phone (219) 257-2295

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

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": "1543795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1891265898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14329 CALIFORNIA AVE",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604063328",
            "telephone_number": "708-829-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W POLK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123723",
            "telephone_number": "312-550-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOKES",
        "first_name": "LATRISHA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-03",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041383562",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209018904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.