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

MS. Gayathri S. Moorthy, APN-CNP

Individual provider Registered Nurse · NPI 1295203768

MS. Gayathri S. Moorthy, APN-CNP is a Nurse Practitioner in Evanston, Illinois. Qualified in 2018, 8 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
8
Licensed in
IL
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

2650 Ridge Ave Kellogg Cancer Ctr
Evanston, IL 60201-1718
Phone: (847) 570-2112
Fax: (847) 570-1041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209018439 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041403571 (IL)

Record details

NPI number1295203768
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN-CNP
Sole proprietorNo
NPI enumeratedNovember 2, 2018
Last updated in NPPESOctober 15, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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