Active NPI
Ada Brown-Walls, APN
- Nurse Practitioner
- Chicago, IL
National Provider Identifier
1912567546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209019417
- Practice address
- 6614 S Ingleside Ave Apt 2S
Chicago, IL 60637-4293 - Phone
- (312) 414-5642
- NPI assigned
- Jun 17, 2019
- Last updated
- Aug 4, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209019417 | IL | Primary |
Addresses
Primary practice location
6614 S Ingleside Ave Apt 2S
Chicago, IL 60637-4293
Mailing address
50 S B B King Blvd # 100
Memphis, TN 38103-2626
Phone (901) 436-1381
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209019417 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Journeycare, Inc | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Journeycare, Inc. | Current | Accepting new patients |
Locations
2050 Claire Ct
Glenview, IL 60025
Phone (847) 467-7425
405 Lake Zurich Rd
North Barrington, IL 60010
Phone (847) 381-5599
Interoperability endpoints
- ms_abrownw5@landmarkhealth-direct.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community Based Hospice Care Agency
- Barrington, IL
- NPI 1154324994
-
- Internal Medicine Physician
- Naperville, IL
- NPI 1578146882
-
- Community Based Hospice Care Agency
- Barrington, IL
- NPI 1821049933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659571200000",
"number": "1912567546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 S B B KING BLVD # 100",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381032626",
"telephone_number": "901-436-1381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6614 S INGLESIDE AVE APT 2S",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606374293",
"telephone_number": "312-414-5642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN-WALLS",
"first_name": "ADA",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-17",
"last_updated": "2022-08-04",
"certification_date": "2022-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209019417",
"primary": true
}
],
"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 Aug 4, 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.