TIBESSA LAWRENCE-ELLIS
NPI 1679979298
Nurse Practitioner in Chicago, IL

Q: What is Tibessa Lawrence-ellis's NPI number?

The NPI number for Tibessa Lawrence-ellis is 1679979298. It was assigned to this individual provider in the NPPES registry on November 10, 2014.

Q: What is Tibessa Lawrence-ellis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since November 10, 2014

835 S WOLCOTT AVE # E144, CHICAGO, IL 60612(312) 996-7420 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tibessa Lawrence-ellis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIBESSA LAWRENCE-ELLIS (NPI 1679979298) is an individual nurse practitioner in Chicago, Illinois, licensed in Illinois (277.003029) and active in the NPI registry since November 2014.

NPPES Registry Identity

NPI1679979298

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameTIBESSA LAWRENCE-ELLIS

Location Address835 S WOLCOTT AVE # E144Chicago, IL 60612-3748

Mailing Address2119 S 24th AveBroadview, IL 60155-2823 · (708) 223-0873

Phone(312) 996-7420

Sole ProprietorNo

Enumeration DateNovember 10, 2014

Last NPPES UpdateNovember 7, 2024

NPPES CertifiedNovember 7, 2024

✔ NPI 1679979298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 277.003029

Definition

(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.

835 S WOLCOTT AVE # E144, Chicago, IL 60612

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tibessa Lawrence-ellis's NPI number?

The NPI number for Tibessa Lawrence-ellis is 1679979298. It was assigned to this individual provider in the NPPES registry on November 10, 2014.

Where is Tibessa Lawrence-ellis located?

Tibessa Lawrence-ellis practices at 835 S Wolcott Ave # E144, Chicago, IL 60612. The listed phone number is (312) 996-7420.

What is Tibessa Lawrence-ellis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Tibessa Lawrence-ellis was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.