NICOLE BELTRAN (NPI# 1114417615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114417615 |
| Entity Type | Individual |
| Full Name | NICOLE BELTRAN |
| Practice Address |
2361 Paysphere Cir Chicago IL 60674 |
| Mailing Address |
25 Manchester Ln Vernon Hills IL 60061-2311 |
| Practice Telephone | 8477750030 |
| Mailing Telephone | 8475420488 |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2018-05-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.017607 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2520 Elisha Ave, Zion, IL 600992676 | 8477750030 |
| Street Address |
2361 PAYSPHERE CIR |
| City | CHICAGO |
| State | IL |
| Zip Code | 60674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043205107 | Yiping Fu | Internal Medicine | 2361 Paysphere Cir, Chicago, IL 60674 | 2005-09-14 |
| 1598207375 | Shency Varughese | Registered Nurse | 2361 Paysphere Cir, Chicago, IL 60674 | 2016-11-10 |
| 1861850331 | Katrina Sue Barger | Physician Assistant | 2361 Paysphere Cir, Chicago, IL 60674 | 2016-01-29 |
| 1285076794 | Lynn Misch | Nurse Practitioner | 2361 Paysphere Cir, Chicago, IL 60674-0023 | 2013-07-25 |
| 1013255975 | Ruth M Diamond | Nurse Practitioner | 2361 Paysphere Cir, Chicago, IL 60674 | 2013-01-27 |
| 1649590878 | Mehul Arvind Patel | Physician Assistant | 2361 Paysphere Cir, Chicago, IL 60674 | 2010-06-10 |
| 1265668750 | Solomon R Katta | Family Medicine | 2361 Paysphere Cir, Chicago, IL 60674 | 2009-06-10 |
| 1639314834 | Madhavi Nagilla | Internal Medicine | 2361 Paysphere Cir, Chicago, IL 60674 | 2008-12-03 |
| 1699943720 | Miral Sapan Amin | Surgery | 2361 Paysphere Cir, Chicago, IL 60674 | 2008-02-12 |
| 1699960088 | Sarah Jean Tuohy | Nurse Practitioner | 2361 Paysphere Cir, Chicago, IL 60674 | 2007-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497744106 | Herbert H Beck IIi | Specialist | 2361 Paysphere Circle, Chicago, IL 60674 | 2005-10-14 |
| 1649559212 | Shelly Vijay | Internal Medicine | 2361 Paysphere Circle, Chicago, IL 60674 | 2011-08-12 |
| 1790006393 | Syed Zahid Aziz Khalid | Emergency Medicine | 2361 Paysphere Circle, Chicago, IL 60674 | 2010-06-17 |
| 1306818109 | Istvan Redei | Specialist | 2361 Paysphere Circle, Chicago, IL 60674 | 2006-02-06 |
| 1700865656 | Peter T. Senatore | Specialist | 2361 Paysphere Circle, Chicago, IL 60674 | 2006-01-10 |
| 1588643449 | Pakorn Sirijintakarn | Radiology | 2361 Paysphere Circle, Chicago, IL 60674 | 2006-01-10 |
| 1922085372 | S. Charles Charles Lindsay | Specialist | 2361 Paysphere Circle, Chicago, IL 60674 | 2005-12-28 |
| 1356328728 | Alfonso V Mellijor | Specialist | 2361 Paysphere Circle, Chicago, IL 60674 | 2005-12-28 |
| 1245217611 | Rakhshanda Neelam | Specialist | 2361 Paysphere Circle, Chicago, IL 60674 | 2005-12-28 |
| 1164409447 | Elham Abboud | Pathology | 2361 Paysphere Circle, Chicago, IL 60674 | 2005-12-28 |
| Find all providers in zip 60674 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
| 1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
| 1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
| 1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
| 1891395745 | Vrunda Shah Patel | Nurse Practitioner | 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 | 2020-10-29 |
| 1881291706 | Rita Elue | Nurse Practitioner | 6241 N Winthrop Ave Apt 307, Chicago, IL 60660-2071 | 2020-10-04 |
| 1558976514 | Janice Nicole Kinney | Nurse Practitioner | 10127 S Harding Ave, Chicago, IL 60655-3748 | 2020-09-15 |
| 1881209278 | Monique Graves | Nurse Practitioner | 4912 W Adams St Apt 2, Chicago, IL 60644-4445 | 2020-09-11 |
| 1194339721 | Maureen Iyesogie Diji | Nurse Practitioner | 4658 S Ellis Ave, Chicago, IL 60653-3625 | 2020-09-01 |
| 1669085395 | Emily Calderon | Nurse Practitioner | 5556 N Sheridan Rd Apt 506, Chicago, IL 60640-1677 | 2020-08-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.