Active NPI
Ana Isabel Villasana, LMT
- Community Health Worker
- Cicero, IL
National Provider Identifier
1134534985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 227.012558
- Practice address
- 5036 W 24TH PL
Cicero, IL 60804-3422 - Phone
- (773) 818-3832
- NPI assigned
- Jun 30, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 227.012558 | IL | Primary |
Addresses
Primary practice location
5036 W 24TH PL
Cicero, IL 60804-3422
Mailing address
5036 W 24TH PL
Cicero, IL 60804-3422
Phone (773) 818-3832
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 227.012558 | IL | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404086400000",
"number": "1134534985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5036 W 24TH PL",
"city": "CICERO",
"state": "IL",
"postal_code": "608043422",
"telephone_number": "773-818-3832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5036 W 24TH PL",
"city": "CICERO",
"state": "IL",
"postal_code": "608043422",
"telephone_number": "773-818-3832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLASANA",
"first_name": "ANA",
"middle_name": "ISABEL",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-30",
"last_updated": "2014-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "IL",
"license": "227.012558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cicero, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.