Individual provider Active NPI

Phyllis Emroll, RN

  • School Registered Nurse
  • Naperville, IL
National Provider Identifier
1972058683
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
041225167 Issued in IL
Practice address
203 W Hillside Rd
Naperville, IL 60540-6500
Phone
(630) 420-7183
NPI assigned
Aug 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 041225167 IL Primary

Addresses

Primary practice location

203 W Hillside Rd
Naperville, IL 60540-6500

Mailing address

203 W Hillside Rd
Naperville, IL 60540-6500
Phone (630) 420-7183

Other identifiers 1

IdentifierTypeStateIssuer
1059244OtherILIEIN

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
041225167ILMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Naperville Community Unit School District 203 Past Accepting new patients

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": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1972058683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 W HILLSIDE RD",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406500",
            "telephone_number": "630-420-7183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W HILLSIDE RD",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406500",
            "telephone_number": "630-420-7183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMROLL",
        "first_name": "PHYLLIS",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "IL",
            "license": "041225167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IEIN",
            "identifier": "1059244",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.