MISS DAYNA NICOLE PORTNOY NP NPI 1265476345

NPI Information

NPI: 1265476345
Provider Name: MISS DAYNA NICOLE PORTNOY, NP
Classification: Registered Nurse - 163WG0000X
Entity Type: Individual

Specialization: General Practice

PECOS Registration: Yes

Address:
1200 CENTRAL AVE
SUITE 200
WILMETTE, IL
ZIP 60091
Phone: (847) 256-1705
Get Directions

MISS Dayna Nicole Portnoy, NP is a general practice registered nurse in Wilmette, IL. MISS Dayna Nicole Portnoy, NP NPI is 1265476345. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1200 CENTRAL AVE
SUITE 200
WILMETTE, IL
ZIP 60091-654
Phone: (847) 256-1705

The NPI 1265476345 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/16/2006 and was last updated on 7/8/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		209-006098	ILLINOIS	No
2	163WG0000X	Registered Nurse	General Practice	041-265829	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00378000	OTHER	ILLINOIS	MEDICARE RAILROAD
2	Q74978	MEDICARE UPIN	ILLINOIS
3	K34761	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	COOK-GROUP# 450690
4	XXXXXXXXX-001	MEDICAID	ILLINOIS
5	K49309	MEDICARE PIN	ILLINOIS
6	K49310	MEDICARE PIN	ILLINOIS
7	K34762	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	LAKE-GROUP# 203191

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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