Individual provider Active NPI

Carmelina Laride, RPN

  • Registered Nurse
  • Deerfield, IL
National Provider Identifier
1033708128
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
041.284874 Issued in IL
Practice address
151 S Pfingsten Rd Ste B
Deerfield, IL 60015-4934
Phone
(847) 644-3628
NPI assigned
Jan 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041.284874 IL Primary

Addresses

Primary practice location

151 S Pfingsten Rd Ste B
Deerfield, IL 60015-4934

Mailing address

151 S Pfingsten Rd Ste B
Deerfield, IL 60015-4934
Phone (847) 644-3628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041.284874ILMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Therapy Services LLC PastSince Jan 17, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1033708128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 S PFINGSTEN RD STE B",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154934",
            "telephone_number": "847-644-3628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 S PFINGSTEN RD STE B",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154934",
            "telephone_number": "847-644-3628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARIDE",
        "first_name": "CARMELINA",
        "credential": "RPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.284874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.