Individual provider Active NPI

Hillary Lopez, LPN

  • Licensed Practical Nurse
  • Champaign, IL
National Provider Identifier
1922757137
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
043130505 Issued in IL
Practice address
106 S Country Fair Dr Ste C
Champaign, IL 61821-3064
Phone
(217) 373-8200
NPI assigned
Mar 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 043130505 IL Primary

Addresses

Primary practice location

106 S Country Fair Dr Ste C
Champaign, IL 61821-3064

Mailing address

106 S Country Fair Dr Ste C
Champaign, IL 61821-3064
Phone (217) 373-8200

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

State licenses

LicenseStateTypeSpecialty
043130505ILMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Champaign Treatment Center, LLC CurrentSince Jan 21, 2024 Accepting new patients

Locations

106 S Country Fair Dr
Ste C
Champaign, IL 61821
Phone (217) 373-8200

Organizations & group practices 1

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": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1922757137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S COUNTRY FAIR DR STE C",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618213064",
            "telephone_number": "217-373-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S COUNTRY FAIR DR STE C",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618213064",
            "telephone_number": "217-373-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "HILLARY",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IL",
            "license": "043130505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.