MRS. MARY ANN FOOTE RN MSN CANP CWCN ED. NPI 1548265325

NPI Information

NPI: 1548265325
Provider Name: MRS. MARY ANN FOOTE, RN MSN CANP CWCN ED.
Classification: Clinical Nurse Specialist - 364SG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
608 S WASHINGTON ST
NAPERVILLE, IL
ZIP 60540
Phone: (630) 898-3360
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MRS. Mary Ann Foote, RN MSN CANP CWCN ED. is a gerontology clinical nurse specialist in Naperville, IL. MRS. Mary Ann Foote, RN MSN CANP CWCN ED. NPI is 1548265325. 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:

608 S WASHINGTON ST
NAPERVILLE, IL
ZIP 60540-663
Phone: (630) 898-3360
Fax: (630) 898-3358

The NPI 1548265325 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 6/17/2005 and was last updated on 12/4/2009.

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	363LA2200X	Nurse Practitioner	Adult Health	041164265	ILLINOIS	No
2	364SG0600X	Clinical Nurse Specialist	Gerontology	209-003106	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	$$$$$$$$$01	MEDICAID	ILLINOIS
2	L79630	MEDICARE PIN	ILLINOIS
3	S44998	MEDICARE UPIN	ILLINOIS
4	589630	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	GROUP PROVIDER NUMBER

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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