NINA ELISE GRUDE (NPI# 1861705717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861705717 |
Entity Type | Individual |
Full Name | NINA ELISE GRUDE |
Credential | NP |
Practice Address |
912 S Wood St Rm 235-south Chicago IL 60612-4300 |
Practice Telephone | 3124130786 |
Practice Fax Number | 3123554100 |
Mailing Telephone | 3124130786 |
Mailing Fax Number | 3123554100 |
Enumeration Date | 2010-07-21 |
Last Update Date | 2011-12-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 041.396801 | IL | Nursing Service Providers |
N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
2262499 | MA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
209.009082 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
912 S WOOD ST RM 235-SOUTH |
City | CHICAGO |
State | IL |
Zip Code | 60612-4300 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689622029 | Teresa Lupa Sripada | Psychiatry & Neurology | 912 S Wood St, M/c 912, Chicago, IL 60612-4300 | 2006-05-05 |
1023624764 | Dilip K Pandey | Specialist | 912 S Wood St, Chicago, IL 60612-4300 | 2020-09-18 |
1689287724 | Natania A Crane | Psychologist | 912 S Wood St, Chicago, IL 60612-4300 | 2020-08-28 |
1295375244 | Jennifer Week | Social Worker | 912 S Wood St, Chicago, IL 60612-4300 | 2020-01-07 |
1902367899 | Mathew Margolis | Student in an Organized Health Care Education/Training Program | 912 S Wood St, Chicago, IL 60612-4300 | 2019-03-25 |
1982164869 | Jaclyn Sara Weisman | Psychologist | 912 S Wood St, Chicago, IL 60612 | 2019-03-25 |
1649730169 | Alexandra Moran Thomas | Student in an Organized Health Care Education/Training Program | 912 S Wood St, Chicago, IL 60612-4300 | 2019-03-21 |
1447766209 | Tory Anne Eisenlohr-moul | Psychologist | 912 S Wood St, Chicago, IL 60612-4300 | 2017-12-15 |
1932622420 | Sylvia Herbozo | Psychologist | 912 S Wood St, Chicago, IL 60612-4300 | 2017-07-17 |
1194253310 | Sushant Puri | Student in an Organized Health Care Education/Training Program | 912 S Wood St, Chicago, IL 60612-4300 | 2017-06-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
Find all providers in zip 60612 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740742170 | Jenna C Reeh | Nurse Practitioner | 1740 W Taylor St # 605e, Chicago, IL 60612-7232 | 2019-04-04 |
1932674322 | Ashleigh M Poptic | Nurse Practitioner | 675 N St Claire St Ste 19-100, Galter Pavilion, Chicago, IL 60611-5969 | 2018-10-11 |
1215415039 | Julieanne Ferguson | Nurse Practitioner | 251 E Huron St Dept Of, Chicago, IL 60611-2908 | 2018-08-02 |
1750882742 | Racheal Coleman | Nurse Practitioner | 1725 W Harrison St Ste 1121, Chicago, IL 60612-3841 | 2018-02-24 |
1942725890 | Alissa L Faletti | Nurse Practitioner | 100 E Walton St Apt 39a, Chicago, IL 60611-1426 | 2017-08-11 |
1417483348 | Stephanie Denise Orr | Nurse Practitioner | 5115 S University Ave Apt 3, Chicago, IL 60615-3961 | 2017-05-11 |
1255870796 | Thaddeus Trejo | Nurse Practitioner | 4211 N Pulaski Rd, Chicago, IL 60641-2331 | 2017-02-16 |
1124570742 | Angela Fiorelli | Nurse Practitioner | 1942 W Cortland St, Chicago, IL 60622-1040 | 2016-10-31 |
1023481744 | Michelle Audrey Calvario | Nurse Practitioner | 250 E Superior St Ste 5-2322, Chicago, IL 60611-2914 | 2015-11-03 |
1104294834 | Elizabeth Mclaughlin | Nurse Practitioner | 5315 N Lockwood Ave, Chicago, IL 60630-1409 | 2015-09-11 |
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.