PHILSY JOMON EDAKARA (NPI# 1316587371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316587371 |
| Entity Type | Individual |
| Full Name | PHILSY JOMON EDAKARA |
| Credential | APRN |
| Practice Address |
1313 Hallberg Ln Park Ridge IL 60068-1242 |
| Practice Telephone | 7733392410 |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209.020369 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1313 HALLBERG LN |
| City | PARK RIDGE |
| State | IL |
| Zip Code | 60068-1242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010720 | Caitlin Marie Kompanowski | Dentist | 412 W. Talcott, Park Ridge, IL 60068 | 2020-07-08 |
| 1972142198 | Center for Authentic Living, Inc. | Counselor | 120 Main Street Suite 200, Park Ridge, IL 60068 | 2020-01-06 |
| 1306312152 | Maryann Almores Devilla | Physical Medicine & Rehabilitation | Sunrise Assisted Living, 1725 Ballard Road, Park Ridge, IL 60068 | 2018-10-19 |
| 1053808857 | Landon Ginsberg | Student in an Organized Health Care Education/Training Program | 1775 Ballard, Park Ridge, IL 60068 | 2018-04-17 |
| 1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
| 1205367448 | Courtney Heim | Psychiatry & Neurology | 1875 W.dempster Street - Park Side Professional Center, Ste 470, Park Ridge, IL 60068 | 2017-03-21 |
| 1720521362 | Alexander Mylonas | Psychologist | 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068 | 2016-11-30 |
| 1376090878 | Rebecca Rajasekhar | Audiologist | 1030 W. Higgins Rd., Audiology Room 6, Park Ridge, IL 60068 | 2016-09-01 |
| 1164818449 | Mohammad Taha Mustaf Taha Mustafa Sheikh | Student in an Organized Health Care Education/Training Program | 1550 North Northwest Highway Suite 107, L.m. Prasad, Md, Sc, Park Ridge, IL 60068 | 2015-04-13 |
| 1518397918 | Megan Roberts | Speech-Language Pathologist | 2240 Campus Dr., Evanston, IL 60068 | 2013-11-21 |
| Find all providers in zip 60068 | ||||
| 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 |
|---|---|---|---|---|
| 1457979643 | Natalia Alwan | Nurse Practitioner | 104 Albion Ave, Park Ridge, IL 60068-4910 | 2020-07-14 |
| 1700247848 | Advanced Provider Care, LLC | Nurse Practitioner | 2120 Milton Ave, Park Ridge, IL 60068-2322 | 2016-03-17 |
| 1871568667 | Jeanne E Frazel | Nurse Practitioner | Rainbow Hospice, 444 N. Northwest Highway, Park Ridge, IL 60068 | 2006-02-23 |
| 1740804046 | Lauren Kay | Nurse Practitioner | 1775 Dempster St, Park Ridge, IL 60068-1143 | 2020-06-02 |
| 1245866375 | Bernard P Andres | Nurse Practitioner | 1775 Dempster St, Park Ridge, IL 60068-1143 | 2020-03-20 |
| 1467012187 | Eric Joseph Leadley | Nurse Practitioner | 1875 Dempster St, Park Ridge, IL 60068-1186 | 2019-06-14 |
| 1417469438 | Brooke Lobianco | Nurse Practitioner | 1775 Dempster St, Park Ridge, IL 60068-1143 | 2017-10-31 |
| 1356860100 | Margaret C Konieczny | Nurse Practitioner | 1875 Dempster St Ste 520, Park Ridge, IL 60068-1130 | 2017-09-13 |
| 1013453752 | Marina Makovetskaia | Nurse Practitioner | 1775 Dempster St, #936, Park Ridge, IL 60068-1143 | 2017-01-18 |
| 1821396516 | Miroslawa Bogumila Link | Nurse Practitioner | 1875 W Dempster St, Suite 665, Park Ridge, IL 60068-1186 | 2011-03-04 |
| Find all providers in PARK RIDGE | ||||
| City | PARK RIDGE |
| Zip Code | 60068 |
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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.