Individual provider Active NPI

Cynthia Isetts, NP

  • Adult Health Nurse Practitioner
  • Bloomingdale, IL
National Provider Identifier
1902391105
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209.024934 Issued in IL
Practice address
303 E Army Trail Rd Ste 301
Bloomingdale, IL 60108-2152
Phone
(630) 893-0347
Fax
(630) 893-1467
NPI assigned
Jun 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 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 041428436 IL
Adult Health Nurse Practitioner 363LA2200X 209.024934 IL Primary

Addresses

Primary practice location

303 E Army Trail Rd Ste 301
Bloomingdale, IL 60108-2152

Mailing address

303 E Army Trail Rd Ste 301
Bloomingdale, IL 60108-2152
Phone (630) 893-0347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
041428436ILMDRegistered Nurse
209.024934ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Adult Healthcare SC CurrentSince Apr 24, 2022 Accepting new patients
Northwestern Medical Faculty Foundation Past Accepting new patients

Locations

303 E Army Trail Rd
Ste 301
Bloomingdale, IL 60108
Phone (630) 582-2800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DDIGBA

Organizations & group practices 2

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": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1902391105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E ARMY TRAIL RD STE 301",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082152",
            "telephone_number": "630-893-0347",
            "fax_number": "630-893-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E ARMY TRAIL RD STE 301",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082152",
            "telephone_number": "630-893-0347",
            "fax_number": "630-893-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISETTS",
        "first_name": "CYNTHIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-29",
        "last_updated": "2022-04-19",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041428436",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209.024934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.