Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alaina Lastres

Individual provider Nurse Practitioner · NPI 1184758286

Alaina Lastres is a Nurse Practitioner in Bourbonnais, Illinois. Qualified in 2019, 7 years ago. Practices with Prime Healthcare Illinois Medical Group LLC, a 281-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

21 Heritage Dr
Bourbonnais, IL 60914-1465
Phone: (815) 937-8204
Fax: (815) 937-8798
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 404 Feeney Dr, Minooka, IL 60447-9586 — (815) 467-4328

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 209020254 (IL)
Nurse Practitioner Taxonomy 363L00000X · Licence 209020254 (IL)

Record details

NPI number1184758286
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 14, 2007
Last updated in NPPESOctober 11, 2024
Certification dateOctober 11, 2024
Mailing address338 Prairie Ridge Dr, Minooka, IL 60447-8249

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Prime Healthcare Illinois Medical Group Llc — 281 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Bourbonnais