Individual provider Active NPI

Tamara Norsworthy

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1972704658
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.066501 Issued in IL
Practice address
800 E 55TH St
Chicago, IL 60615
Phone
(773) 702-0660
Fax
(773) 834-3756
NPI assigned
May 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.066501 IL Primary

Addresses

Primary practice location

800 E 55TH St
Chicago, IL 60615

Mailing address

800 E 55TH St
Chicago, IL 60615-4906
Phone (773) 702-0660

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071112000492 IL Practitioner - Nurse Practitioner 6002904885 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.066501ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greenbax Health Solutions, LLC CurrentSince Jun 15, 2020 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince May 29, 2013 Accepting new patients
Stellar Health Experts, PLLC Family Current Accepting new patients
Stellar Health Experts, PLLC Family Current Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince May 29, 2013 Accepting new patients
Friend Family Health Center Inc CurrentSince Dec 13, 2016 Accepting new patients
Friend Family Health Center Inc CurrentSince Dec 13, 2016 Accepting new patients

Locations

3 E Golf Rd
Arlington Hts, IL 60005
Phone (800) 323-0358

595 William R Latham SR Dr
Bourbonnais, IL 60914
Phone (815) 932-8944

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

135 N Arlington Heights Rd
Buffalo Grove, IL 60089
Phone (847) 215-8866

29373 Network Pl
Chicago, IL 60673

1522 E 63rd St
Chicago, IL 60637
Phone (773) 795-2260

800 E 55th St
Chicago, IL 60615
Phone (773) 702-2193

4922 W Chicago Ave
Chicago, IL 60651
Phone (773) 403-1162

9730 S Western Ave
Ste 234
Evergreen Park, IL 60805
Phone (708) 703-8287

63 W 87th St
Naperville, IL 60565
Phone (630) 778-7645

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25066/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1972704658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E 55TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154906",
            "telephone_number": "773-702-0660",
            "fax_number": "773-834-3756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 55TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60615",
            "telephone_number": "773-702-0660",
            "fax_number": "773-834-3756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORSWORTHY",
        "first_name": "TAMARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.066501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.