Individual provider Active NPI

Luanne Janel Dignadice

  • Behavior Analyst
  • Crystal Lake, IL
National Provider Identifier
1124667464
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
780 McArdle Dr Ste Abc
Crystal Lake, IL 60014-8155
Phone
(779) 220-6262
NPI assigned
Jan 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X IL Primary

Addresses

Primary practice location

780 McArdle Dr Ste Abc
Crystal Lake, IL 60014-8155

Mailing address

780 McArdle Dr Ste Abc
Crystal Lake, IL 60014-8155
Phone (779) 220-6262

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": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1124667464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 MCARDLE DR STE ABC",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148155",
            "telephone_number": "779-220-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 MCARDLE DR STE ABC",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148155",
            "telephone_number": "779-220-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGNADICE",
        "first_name": "LUANNE",
        "middle_name": "JANEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.