Alice Cervantes, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

041389503 Issued in IN

Practice address

6821 S Halsted St
Chicago, IL 60621-1833

Phone

(773) 651-3629

Fax

(773) 322-1599

NPI assigned

Mar 20, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1932801487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7035 KANSAS AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463231761",
            "telephone_number": "219-940-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6821 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606211833",
            "telephone_number": "773-651-3629",
            "fax_number": "773-322-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERVANTES",
        "first_name": "ALICE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "IN",
            "license": "041389503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frida Nitzaha Cervantes Diaz, MD
• Karelia M Cervantes Perez, DPT
• Ana Patricia Cervantes Rascon, MD
• Marilee Cervantes-Bautista, MA, LPC
• Xiomara Verenice Cervantes-Gomez
• Donaciana Cervantes
• Estela Cervantes
• Lissette Suleiga Cervantes, FNP-C
• Maria Andrea Cervantes
• Marlene Cervantes, LCSW

• General Practice Registered Nurse in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.