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

MS. Iyeokan Emmanuela Ativie, FNP-C

Individual provider Family Nurse Practitioner · NPI 1205421815

MS. Iyeokan Emmanuela Ativie, FNP-C is a Nurse Practitioner in New Lenox, Illinois. Qualified in 2020, 6 years ago. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2021
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

2050 Nelson Rd
New Lenox, IL 60451-8537
Phone: (815) 463-5281
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209022852 (IL)

Record details

NPI number1205421815
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedMarch 5, 2021
Last updated in NPPESMarch 5, 2021
Certification dateMarch 5, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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