Active NPI
Yolanda E Meraz, NP
- Family Nurse Practitioner
- Chicago, IL
National Provider Identifier
1902557382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.024910
- Practice address
- 2355 S Western Ave
Chicago, IL 60608-3837 - Phone
- (773) 254-1400
- NPI assigned
- Jan 17, 2022
- Last updated
- May 5, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.024910 | IL | Primary |
| Registered Nurse | 163W00000X | 041442268 | IL |
Addresses
Primary practice location
2355 S Western Ave
Chicago, IL 60608-3837
Mailing address
186 Wedgeport Cir
Romeoville, IL 60446-3758
Other practice location 1
186 Wedgeport Cir
Romeoville, IL 60446-3758
Phone (708) 252-6459
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220511002220 | IL | Practitioner - Nurse Practitioner | 7315324464 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.024910 | IL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651708800000",
"number": "1902557382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "186 WEDGEPORT CIR",
"city": "ROMEOVILLE",
"state": "IL",
"postal_code": "604463758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2355 S WESTERN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606083837",
"telephone_number": "773-254-1400"
}
],
"practiceLocations": [
{
"address_1": "186 Wedgeport Cir",
"address_purpose": "LOCATION",
"city": "Romeoville",
"state": "IL",
"postal_code": "604463758",
"country_code": "US",
"telephone_number": "708-252-6459",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MERAZ",
"first_name": "YOLANDA",
"middle_name": "E",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-17",
"last_updated": "2022-05-05",
"certification_date": "2022-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.024910",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041442268",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.