Kimberly Ramirez-Tasigchana, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.009079 Issued in IL

Practice address

2106 Grand Ave
Unit 2
Waukegan, IL 60085-3416

Phone

(224) 381-7672

Fax

(844) 269-6781

NPI assigned

Sep 28, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Group practices

Innovation Health SCGroup PAC ID 9830459692, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Innovation Health SC

  • Internal Medicine Physician
  • Glenview, IL
  • NPI 1144742412
  Medicare reassignment Care Compare group NPD
• Chicago Sports and Spine, LLC

  • Physical Medicine & Rehabilitation Physician
  • Chicago, IL
  • NPI 1316192628
  Medicare reassignment NPD
• Skyline Physicians LLC

  • Family Medicine Physician
  • Glen Ellyn, IL
  • NPI 1568704443
  Medicare reassignment NPD
• Illinois Home Providers, Inc

  • Adult Medicine Physician
  • Northfield, IL
  • NPI 1972951192
  NPD (past) Authorized official
• Mainstay Clinics Inc

  • Nurse Practitioner
  • Libertyville, IL
  • NPI 1134622053
  NPD (past)
• Natasha Jindal MD SC

  • Internal Medicine Physician
  • Evanston, IL
  • NPI 1396297834
  NPD (past)
• Osf Multi-Specialty Group

  • Internal Medicine Physician
  • Peoria, IL
  • NPI 1922445527
  NPD (past)
• United Medical Group, SC

  • Internal Medicine Physician
  • Skokie, IL
  • NPI 1427244029
  NPD (past)
• Paragon Clinical Midwest, LLC

  • Nurse Practitioner
  • Merrillville, IN
  • NPI 1619335700
  NPD (past)

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1992089742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 MAIN",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "60053",
            "telephone_number": "847-962-4050",
            "fax_number": "844-269-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 GRAND AVE",
            "address_2": "UNIT 2",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600853416",
            "telephone_number": "224-381-7672",
            "fax_number": "844-269-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ-TASIGCHANA",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-28",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.009079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992089742",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evgenii Raikovskii, MD
• Phyllis Raines, MS, CADC
• David Rakoczy, DDS
• Debby B Ramas, RN
• Heidi Ramirez-Cabanit
• Crystal T Ramirez, LCPC
• Jasmine Estella Ramirez, RBT-18-57498
• Mary Rasty, DDS
• Kokeela Rathi, MD
• Nisha Rathod

• Family Nurse Practitioner in Waukegan, IL
• Providers in Waukegan, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.