CARRISSA BUTTS (NPI# 1972048528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972048528 |
| Entity Type | Individual |
| Full Name | CARRISSA BUTTS |
| Credential | A.P.N.-C.N.P. |
| Practice Address |
800 Biesterfield Rd Suite G01 Elk Grove Village IL 60007-3361 |
| Mailing Address |
900 S Frontage Rd Suite 325 Woodridge IL 60517-4903 |
| Practice Telephone | 8479813680 |
| Practice Fax Number | 8479565122 |
| Mailing Telephone | 6309728228 |
| Mailing Fax Number | 6309728229 |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 041381795 | IL | Nursing Service Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
209015283 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | GROUP PRACTICE NPI | 1720371669 | 01 |
| Street Address |
800 BIESTERFIELD RD SUITE G01 |
| City | ELK GROVE VILLAGE |
| State | IL |
| Zip Code | 60007-3361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881697472 | Katarzyna Anna Olejniczak | Family Medicine | 800 Biesterfield Rd, Wimmer Bldg. #104, Elk Grove Village, IL 60007-3361 | 2005-05-27 |
| 1891308060 | Kelly Jane Lydon | Nurse Practitioner | 800 Biesterfield Rd, Elk Grove Village, IL 60007-3361 | 2020-08-27 |
| 1487263349 | Jeffrey Michael Skalicky | Registered Nurse | 800 Biesterfield Rd, Elk Grove Village, IL 60007-3361 | 2020-07-27 |
| 1528681822 | Cepamerica Illinois LLP | Emergency Medicine | 800 Biesterfield Rd, Elk Grove Village, IL 60007-3361 | 2020-05-20 |
| 1083235535 | Natalia Janik | Nurse Practitioner | 800 Biesterfield Rd, Elk Grove Village, IL 60007-3361 | 2020-05-06 |
| 1417578980 | Rachel Nicole Heise | Registered Nurse | 800 Biesterfield Rd, Elk Grove Village, IL 60007-3361 | 2020-05-06 |
| 1093349045 | Rachel Wiles | Obstetrics & Gynecology | 800 Biesterfield Rd, Elk Grove Village, IL 60007-3361 | 2020-02-28 |
| 1528608577 | Nicole Ann Tymann | Nurse Practitioner | 800 Biesterfield Rd, Elk Grove Village, IL 60007-3361 | 2020-01-07 |
| 1649731910 | James Pedraza Jr. | Nurse Practitioner | 800 Biesterfield Rd, Elk Grove Village, IL 60007-3361 | 2019-03-28 |
| 1841757747 | Edyta Teresa Dudek | Nurse Practitioner | 800 Biesterfield Rd, Elk Grove Village, IL 60007-3361 | 2019-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518593706 | Anthony Ray Zwaga | Social Worker | 1001 Il-53 N, Elk Grove Village, IL 60007 | 2020-03-19 |
| 1104471333 | Highway Dental Inc | Dentist | 1055 Rohlwing Road, Elk Grove Village, IL 60007 | 2019-08-05 |
| 1699335984 | Orsini Pharmaceutical Services, LLC | Pharmacy | 1107 Nicholas Boulevard, Elk Grove Village, IL 60007 | 2019-06-18 |
| 1700371457 | Kandy Sandhu | Specialist/Technologist, Other | 910 Biesterfield Rd, Suite 105, Elk Grove Village, IL 60007 | 2018-06-26 |
| 1447761085 | Trevor W Avella | Physician Assistant | 800 Biesterfield Rd Ste 101, Elk Grove Village, IL 60007 | 2017-10-23 |
| 1649792573 | Paige Wesa | Speech-Language Pathologist | 936 Victoria Ln, Elk Grove Village, IL 60007 | 2017-07-12 |
| 1093242414 | Assist Illinois Senior Care Services, Inc. | In Home Supportive Care | 1052 Florida Lane, Elk Grove Village, IL 60007 | 2017-05-16 |
| 1598205098 | Azadeh Bassij | Counselor | 1001 Rohwing Rd., Kenneth Young Center, Elk Grove Village, IL 60007 | 2017-03-02 |
| 1700245438 | Roma H Venkatesan | Nurse Practitioner | 800 Biesterfield Road Cancer Institute, Suite 120, Elk Grove Village, IL 60007 | 2016-02-23 |
| 1295114825 | Shelagh Robyn Nikkel | Massage Therapist | 901 Biesterfield Rd. Suite 211, Maria A. Castellese D.c., P.C., Elk Grove Village, IL 60007 | 2015-05-28 |
| Find all providers in zip 60007 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649712373 | Rafie Davidov | Nurse Practitioner | 800 Biesterfield Rd Ste G01, Wimmer Building, Elk Grove Village, IL 60007-3372 | 2016-11-11 |
| 1164890869 | Margaret M Gaynor | Nurse Practitioner | 800 Biesterfield Rd, Suite510, Elk Grove Village, IL 60007-3361 | 2015-09-11 |
| 1952323693 | Constance Reid Lokos | Nurse Practitioner | 800 Biesterfield Rd, Ste 605 Eberle Building, Elk Grove Village, IL 60007-3397 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553472 | Nicholas Johnson | Nurse Practitioner | 8455 S Luella Ave, Chicago, IL 60617-1953 | 2020-09-23 |
| 1710592175 | Mary Maloney | Nurse Practitioner | 348 Westglen Dr, Glen Carbon, IL 62034-1002 | 2020-09-12 |
| 1134738800 | Benjamin Scott Hulfachor | Nurse Practitioner | 4143 N Central Park Ave Apt G, Chicago, IL 60618-2062 | 2020-07-28 |
| 1083222368 | Izolda Rosario | Nurse Practitioner | 501 W Lake St Ste 207, Elmhurst, IL 60126-1419 | 2020-07-22 |
| 1043832785 | Melanie Glander | Nurse Practitioner | 18357 Cowing Ct, Homewood, IL 60430-3332 | 2020-05-16 |
| 1699306902 | Ife Muyiwa-ojo | Nurse Practitioner | 729 E Carpenter St, Springfield, IL 62702-5321 | 2020-01-27 |
| 1962040345 | Doctors Orders Inc. | Nurse Practitioner | 5113 S Harper Ave Ste 2, Chicago, IL 60615-4119 | 2019-12-16 |
| 1801455993 | Parul Arora | Nurse Practitioner | 1717 W Congress Pkwy Ste 1125, Chicago, IL 60612-3809 | 2019-06-11 |
| 1891358222 | Kelly Jo Erke | Nurse Practitioner | 20830 N 1970 East Rd, Danville, IL 61834-6228 | 2019-04-22 |
| 1689136319 | Brittany Sue Borkowski | Nurse Practitioner | 5841 S Maryland Ave # W700, Chicago, IL 60637-1443 | 2019-04-02 |
| Find all providers with the same taxonomy | ||||
| City | ELK GROVE VILLAGE |
| Zip Code | 60007 |
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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.