Active NPI
Debra L Bennett Carey, APRN
- Family Nurse Practitioner
- Oak Forest, IL
National Provider Identifier
1992384077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209021870
- Practice address
- 16493 Brenden LN
Oak Forest, IL 60452-4326 - Phone
- (708) 668-7342
- NPI assigned
- Apr 6, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209021870 | IL | Primary |
Addresses
Primary practice location
16493 Brenden LN
Oak Forest, IL 60452-4326
Mailing address
16493 Brenden LN
Oak Forest, IL 60452-4326
Phone (708) 668-7342
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transitions Home Medical Group PLLC | Current | Accepting new patients |
Locations
2312 Touhy Ave
Elk Grove Vlg, IL 60007
Phone (816) 637-2200
1551 Bond St
Ste 143
Naperville, IL 60563
Phone (630) 983-7100
Interoperability endpoints
- debra.bennett.p1@direct.thmg.nextgenshare.com
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.
-
- Nurse Practitioner
- Elk Grove Village, IL
- NPI 1871890657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617667200000",
"number": "1992384077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16493 BRENDEN LN",
"city": "OAK FOREST",
"state": "IL",
"postal_code": "604524326",
"telephone_number": "708-668-7342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16493 BRENDEN LN",
"city": "OAK FOREST",
"state": "IL",
"postal_code": "604524326",
"telephone_number": "708-668-7342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT CAREY",
"first_name": "DEBRA",
"middle_name": "L",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-06",
"last_updated": "2021-04-06",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209021870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Forest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.