MRS. ROXANNE JENNIFER SIEMECK APRN CNS-BC FNP-BC NPI 1972774560

NPI Information

NPI: 1972774560
Provider Name: MRS. ROXANNE JENNIFER SIEMECK, APRN, CNS-BC, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
4440 W 95TH ST
6TH FLOOR OUTPATIENT PAVILION
OAK LAWN, IL
ZIP 60453
Phone: (708) 684-9132
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MRS. Roxanne Jennifer Siemeck, APRN, CNS-BC, FNP-BC is a family nurse practitioner in Oak Lawn, IL. MRS. Roxanne Jennifer Siemeck, APRN, CNS-BC, FNP-BC NPI is 1972774560. 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
6TH FLOOR OUTPATIENT PAVILION
OAK LAWN, IL
ZIP 60453-600
Phone: (708) 684-9132
Fax: (708) 520-1871

The NPI 1972774560 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 3/21/2008 and was last updated on 10/15/2020.

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	363LF0000X	Nurse Practitioner	Family	209013887	ILLINOIS	Yes
2	364SA2200X	Clinical Nurse Specialist	Adult Health	209007019	ILLINOIS	No

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	209013887	OTHER	ILLINOIS	FAMILY NURSE PRACTITIONER

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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