DR. NICOLE RACHEL O'CONNOR DNP APRN CPNP-AC NPI 1942769484

NPI Information

NPI: 1942769484
Provider Name: DR. NICOLE RACHEL O'CONNOR, DNP, APRN, CPNP-AC
Classification: Nurse Practitioner - 363LP0222X
Entity Type: Individual

Specialization: Pediatrics, Critical Care

PECOS Registration: Yes

Address:
4440 W 95TH ST
OAK LAWN, IL
ZIP 60453
Phone: (708) 289-5019
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DR. Nicole Rachel O'connor, DNP, APRN, CPNP-AC is a pediatrics and critical care nurse practitioner in Oak Lawn, IL. DR. Nicole Rachel O'connor, DNP, APRN, CPNP-AC NPI is 1942769484. 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:

4440 W 95TH ST
OAK LAWN, IL
ZIP 60453-600
Phone: (708) 289-5019

The NPI 1942769484 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 3/14/2019 and was last updated on 12/15/2021.

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	163W00000X	Registered Nurse		2009022174	MISSOURI	No
2	363LP0222X	Nurse Practitioner	Pediatrics, Critical Care	2018028919	MISSOURI	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	2018028919	OTHER	MISSOURI	NATIONAL COUNCIL OF STATE BOARDS OF NURSING
2	20186482	OTHER		PEDIATRIC NURSING CERTIFICATION BOARD

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: 11/14/2023

NPI Synchronization or Removal

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