ERICA GADDY APRN (NPI# 1316558471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316558471 |
| Entity Type | Organization |
| Organization Name | ERICA GADDY APRN |
| Practice Address |
60 Revere Dr Ste 100 Northbrook IL 60062-1590 |
| Practice Telephone | 2243061879 |
| Mailing Telephone | 2243061879 |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |
| Authorized Official Name | ERICA GADDY (OWNER) |
| Authorized Official Telephone | 2243061879 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 12779892 | 01 |
| Street Address |
60 REVERE DR STE 100 |
| City | NORTHBROOK |
| State | IL |
| Zip Code | 60062-1590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386796027 | Joseph Serio | Counselor | 60 Revere Dr Ste 100, Northbrook, IL 60062-1590 | 2007-01-16 |
| 1609480243 | John Patrick Moore | Social Worker | 60 Revere Dr Ste 100, Northbrook, IL 60062-1590 | 2020-09-01 |
| 1669083739 | Erica Jane Gaddy Aprn | Nurse Practitioner | 60 Revere Dr Ste 100, Northbrook, IL 60062-1590 | 2020-08-12 |
| 1902450315 | Dr. Christopher Womack LLC | Psychiatry & Neurology | 60 Revere Dr Ste 100, Northbrook, IL 60062-1590 | 2019-07-25 |
| 1417501875 | Christopher Womack, Md LLC | Psychiatry & Neurology | 60 Revere Dr Ste 100, Northbrook, IL 60062-1590 | 2019-07-24 |
| 1336709260 | Jeff Palacios, Md, LLC | Psychiatry & Neurology | 60 Revere Dr Ste 100, Northbrook, IL 60062-1590 | 2019-06-13 |
| 1588222335 | Dr. Jeff Palacios, LLC | Psychiatry & Neurology | 60 Revere Dr Ste 100, Northbrook, IL 60062-1590 | 2019-06-05 |
| 1689238883 | Dr. Phoebe Arbogast, LLC | Psychiatry & Neurology | 60 Revere Dr Ste 100, Northbrook, IL 60062-1590 | 2019-04-24 |
| 1730742685 | Phoebe Arbogast, Md, LLC | Psychiatry & Neurology | 60 Revere Dr Ste 100, Northbrook, IL 60062-1590 | 2019-04-17 |
| 1922569334 | Madison Knight | Social Worker | 60 Revere Dr Ste 100, Northbrook, IL 60062-1590 | 2019-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487067 | Cvs Aoc Services, L.L.C. | Optometrist | 936 Willow Road, Store 0141, Northbrook, IL 60062 | 2020-05-06 |
| 1386103885 | Jennifer Venegas | Behavior Technician | 5 Revere Dr Suit 120, Northbrook, IL 60062 | 2019-03-14 |
| 1720558281 | Taylor Hundley | Behavior Technician | 5 Revere Dr. Suite 120, Northbrook, IL 60062 | 2018-11-27 |
| 1609344027 | Melissa Cepeda | Behavior Technician | 5 Revere Dr Suite 120, Northbrook, IL 60062 | 2018-11-03 |
| 1235606658 | Candace Cheyenne Kaiser | Behavior Technician | 5 Revere Dr, Suite 120, Northbrook, IL 60062 | 2018-10-24 |
| 1275058745 | The Renfrew Center of Illinois | Counselor | 5 Revere Dr, Suite 100, Northbrook, IL 60062 | 2017-08-07 |
| 1467984773 | Ayzenshteyn Chiropractic | Chiropractor | 3210 Doolittle Dr., Northbrook, IL 60062 | 2017-03-28 |
| 1396282695 | Josephine Driscoll | Physician Assistant | 400 Skokie Blvd., Suite 450, Northbrook, IL 60062 | 2017-01-24 |
| 1396297842 | Lauren Raphael Lcsw LLC | Social Worker | 3050 Pheasant Creek Drive, Apt. 104, Northbrook, IL 60062 | 2016-11-01 |
| 1851847073 | Jassim Vailoces | Physical Therapist | 634 Academy Dr, Northbrook, IL 60062 | 2016-08-28 |
| Find all providers in zip 60062 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811527716 | Donna Kitchen | Nurse Practitioner | 3535 Sorrel Dr, Northbrook, IL 60062-2230 | 2020-01-19 |
| 1821645664 | Jessica Quezada | Nurse Practitioner | 2100 Sanders Rd Ste 100, Northbrook, IL 60062-6199 | 2019-08-26 |
| 1508278896 | Shireen Long | Nurse Practitioner | 2909 Macarthur Blvd, Northbrook, IL 60062-2004 | 2014-05-21 |
| 1275580953 | Nancy V Wilens | Nurse Practitioner | 1347 Coventry Ln, Northbrook, IL 60062-4338 | 2006-05-28 |
| 1447238910 | Donna D Wittert | Nurse Practitioner | 3300 Milwaukee Ave, Northbrook, IL 60062-7126 | 2006-01-05 |
| 1669083739 | Erica Jane Gaddy Aprn | Nurse Practitioner | 60 Revere Dr Ste 100, Northbrook, IL 60062-1590 | 2020-08-12 |
| 1093751802 | Quality Health Unlimited,p.c. | Nurse Practitioner | 1347 Coventry Ln, Northbrook, IL 60062-4338 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578523 | Kaitlin Lawson Kalnitz | Nurse Practitioner | 745 Mcclintock Dr Ste 360, Burr Ridge, IL 60527-0875 | 2020-11-06 |
| 1841890290 | Maria Malanych | Nurse Practitioner | 5731 Rosinweed Ln, Naperville, IL 60564-1635 | 2020-10-27 |
| 1639778160 | Roxanna Lee Gunnels | Nurse Practitioner | 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 | 2020-10-26 |
| 1295334811 | Mary Farley | Nurse Practitioner | 7308 Northwood Dr, Wonder Lake, IL 60097-8606 | 2020-10-24 |
| 1164021168 | Stephanie Schuster | Nurse Practitioner | 2665 Prairieview Ln N, Aurora, IL 60502-6343 | 2020-10-21 |
| 1316546641 | Vanessa K Bajaj | Nurse Practitioner | 1123 N Claremont Dr, Palatine, IL 60074-4002 | 2020-10-19 |
| 1003414442 | Gachugu Medical Clinic | Nurse Practitioner | 1 E Ferguson Ave, Wood River, IL 62095-1903 | 2020-10-16 |
| 1477151272 | Yolanda K Bradford | Nurse Practitioner | 2700 S California Ave, Chicago, IL 60608-5108 | 2020-10-14 |
| 1265030019 | Andrea Mclean | Nurse Practitioner | 2500 W Reynolds St # 205, Pontiac, IL 61764-9774 | 2020-10-14 |
| 1558968628 | Timothy Nenoff | Nurse Practitioner | 24722 Lincolnway St, Plainfield, IL 60544-2412 | 2020-10-02 |
| Find all providers with the same taxonomy | ||||
| City | NORTHBROOK |
| Zip Code | 60062 |
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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.