Active NPI
Azmin Pedraza
- Social Worker
- Oak Brook, IL
National Provider Identifier
1083366892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 2625 Butterfield Rd
Oak Brook, IL 60523-1234 - Phone
- (630) 586-0900
- NPI assigned
- Jan 23, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
2625 Butterfield Rd
Oak Brook, IL 60523-1234
Mailing address
2625 Butterfield Rd
Oak Brook, IL 60523-1234
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | apedraza@centersforfamilychange.com |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642896000000",
"number": "1083366892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 BUTTERFIELD RD",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2625 BUTTERFIELD RD",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231234",
"telephone_number": "630-586-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEDRAZA",
"first_name": "AZMIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-23",
"last_updated": "2022-01-23",
"certification_date": "2022-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "apedraza@centersforfamilychange.com",
"affiliation": "N",
"address_1": "2625 Butterfield Rd",
"city": "Oak Brook",
"state": "IL",
"country_code": "US",
"postal_code": "605231234",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Oak Brook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.