Individual provider Active NPI

Editha Sandee Valencia Barrameda, R.N., B.S.N.

  • Home Health Registered Nurse
  • Chicago, IL
National Provider Identifier
1104039411
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Practice address
4708 N Central Ave
Suite 1S
Chicago, IL 60630-3210
Phone
(773) 777-7815
Fax
(773) 777-7816
NPI assigned
May 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X IL Primary

Addresses

Primary practice location

4708 N Central Ave
Suite 1S
Chicago, IL 60630-3210

Mailing address

5136 N Natoma Ave
Chicago, IL 60656-3725

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
041-287469ILMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas Home Health, Inc. Past 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": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104039411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5136 N NATOMA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606563725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708 N CENTRAL AVE",
            "address_2": "SUITE 1S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606303210",
            "telephone_number": "773-777-7815",
            "fax_number": "773-777-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRAMEDA",
        "first_name": "EDITHA SANDEE",
        "middle_name": "VALENCIA",
        "name_prefix": "Mrs.",
        "credential": "R.N., B.S.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.