MRS. NAKEISHA NICOLE WEATHERSBY (NPI# 1376972000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376972000 |
| Entity Type | Individual |
| Full Name | MRS. NAKEISHA NICOLE WEATHERSBY |
| Credential | CNM, APN |
| Practice Address |
800 E 55th St Chicago IL 60615 |
| Mailing Address |
7729 S Throop St Chicago IL 60620-3756 |
| Practice Telephone | 7737020660 |
| Mailing Telephone | 7739915757 |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2018-05-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
209010565 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
800 E 55TH ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578560090 | Friend Family Health Center, Inc | Clinic/Center | 800 E 55th St, Chicago, IL 60615-4906 | 2005-06-30 |
| 1851930127 | Ashley B Deicher | Physician Assistant | 800 E 55th St, Chicago, IL 60615-4906 | 2020-01-03 |
| 1154967230 | Riskat Fadonougbo | Nurse Practitioner | 800 E 55th St, Chicago, IL 60615-4906 | 2019-11-23 |
| 1295376481 | Lauren Williams | Physician Assistant | 800 E 55th St, Chicago, IL 60615-4906 | 2019-09-30 |
| 1649824491 | Danielle D Cox | Social Worker | 800 E 55th St, Chicago, IL 60615-4906 | 2019-07-30 |
| 1689138448 | Surecare Discount Pharmacy 2 Inc | Pharmacy | 800 E 55th St, Chicago, IL 60615-4906 | 2019-01-25 |
| 1740752294 | Friend Family Health Center Inc | Case Management | 800 E 55th St, Chicago, IL 60615-4906 | 2018-12-21 |
| 1811473820 | Natalia Ruiz | Nurse Practitioner | 800 E 55th St, Chicago, IL 60615-4906 | 2018-07-12 |
| 1528553013 | Kayla Marchelle Jones | Nurse Practitioner | 800 E 55th St, Chicago, IL 60615-4906 | 2018-06-27 |
| 1477045763 | Andrea Williams | Dietitian, Registered | 800 E 55th St, Chicago, IL 60615-4906 | 2018-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170221 | Cook County | Technician, Other | 430 East 51st Pl, Chicago, IL 60615 | 2020-09-28 |
| 1700498326 | Connie Frances Davis | Massage Therapist | 5481 S. Cornell, Chicago, IL 60615 | 2020-08-17 |
| 1134781974 | Lifestyle Rejuvenation Medical Group Pllc | Chiropractor | 1740 E 55th Street, Chicago, IL 60615 | 2019-07-02 |
| 1275007767 | Michelle Alyse Costello | Social Worker | 1225 E 53rd St, Suite 606, Chicago, IL 60615 | 2019-01-17 |
| 1194207522 | Cindy Louise Lys | Social Worker | 1525 E 53rd Street Suite 516-4, Chicago, IL 60615 | 2018-09-01 |
| 1861983660 | Pranusha Pinna | Student in an Organized Health Care Education/Training Program | 1850 W. Harrison St., Chicago, IL 60615 | 2018-05-29 |
| 1528577632 | Jonah Waseberg | Counselor | 1100 E.55th St, Chicago, IL 60615 | 2017-09-21 |
| 1710404496 | Tawann Jackson | Psychologist | 360 Blair Lane, Door 13, Bolingbrook, IL 60615 | 2017-08-24 |
| 1194259069 | Molly Kachale Netter | Nurse Practitioner | 1554 E 55th St., Chicago, IL 60615 | 2017-04-17 |
| 1205387990 | Kirk Remon Riddle | Counselor | 1525 E. 53rd Street, Suite 425, Chicago, IL 60615 | 2016-10-18 |
| Find all providers in zip 60615 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
| 1457600306 | Julie Duff | Nurse Practitioner | 5425 W. Addison, Chicago, IL 60641 | 2012-09-06 |
| 1568476828 | Jintana Intarapanont | Nurse Practitioner | 1900 W Polk St Fl 5, Chicago, IL 60612-3723 | 2006-07-29 |
| 1568007102 | Karyn Elizabeth Morgan | Nurse Practitioner | 820 S Wood St # Mc808, Chicago, IL 60612-4325 | 2019-11-07 |
| 1558864561 | Cynthia L Tran | Nurse Practitioner | 1276 N Clybourn Ave, Chicago, IL 60610-2089 | 2018-03-15 |
| 1316342215 | Julie Leung | Nurse Practitioner | 2525 S Michigan Ave, Chicago, IL 60616-2315 | 2014-11-04 |
| 1902209232 | Ivy-lou Villanueva Iraula | Nurse Practitioner | 1276 N Clybourn Ave, Chicago, IL 60610-2089 | 2014-10-01 |
| 1104172691 | Barbara Lee Hartnett | Nurse Practitioner | 737 N Michigan Ave, Chicago, IL 60611-2615 | 2012-08-02 |
| 1760767867 | Marci Peck | Nurse Practitioner | 675 N Saint Clair St, 14-200, Chicago, IL 60611-5975 | 2011-10-20 |
| 1891029922 | Deanna Gail Brown | Nurse Practitioner | 1740 W Taylor St, Chicago, IL 60612-7232 | 2009-09-22 |
| Find all providers in CHICAGO | ||||
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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.