PROACTIVE WELLNESS CENTER
NPI 1174664882
Nurse Practitioner in Libertyville, IL
NPI Status: Active since February 08, 2007
Contact Information
14044 W PETRONELLA DR
SUITE 3
LIBERTYVILLE, IL
ZIP 60048
Phone: (847) 549-6044
Fax: (847) 549-6058
- Organization
- Nurse Practitioner
- CLIA Number: 14D0992335
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 10-14-2025
About PROACTIVE WELLNESS CENTER
This page provides the complete NPI Profile along with additional information for Proactive Wellness Center, a provider established in Libertyville, Illinois operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1174664882 assigned on February 2007. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Proactive Wellness Center. The authorized official of this NPI record is Ms. Mary I Stowell C.n.p. (President)
- NPI
- 1174664882
- Provider Legal Name
- PROACTIVE ALTERNATIVES PC
- Other Organization Name
- PROACTIVE WELLNESS CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 14044 W PETRONELLA DR SUITE 3 LIBERTYVILLE, IL 60048
- Location Phone
- (847) 549-6044
- Location Fax
- (847) 549-6058
- Mailing Address
- 14044 W PETRONELLA DR SUITE 3 LIBERTYVILLE, IL 60048
- Mailing Phone
- (847) 549-6044
- Mailing Fax
- (847) 549-6058
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-08-2007
- Last Update Date
- 08-22-2020
- Code Navigator
A nurse practitioner (NP) like Proactive Wellness Center is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License State
- IL
- Taxonomy Description
- (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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D0992335
- Facility Type
- Practitioner Other
- Certificate Effective Date
- October 15, 2023
- Certificate Expiration Date
- October 14, 2025
- Laboratory Director
- MARY STOWELL
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Proactive Wellness Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1174664882, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174664882, enumerated as an "organization" on February 08, 2007.
The provider is located at 14044 W PETRONELLA DR SUITE 3 LIBERTYVILLE, IL 60048 and the phone number is (847) 549-6044.
Nurse Practitioner with taxonomy code 363L00000X.
