Organization Active NPI

Journey Awareness LLC

  • Primary Care Nurse Practitioner
  • South Chicago Heights, IL
National Provider Identifier
1134778996
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
JOURNEY AWARENESS LLC
Practice address
2843 Chicago Rd
South Chicago Heights, IL 60411-4736
Phone
(708) 441-2158
Fax
(708) 575-1669
NPI assigned
Sep 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Authorized official

Name
Ginger Dean, NPNPI 1659830057
Title
Manager
Phone
(708) 441-2158

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X
Gerontology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LG0600X
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

2843 Chicago Rd
South Chicago Heights, IL 60411-4736

Mailing address

2843 Chicago Rd
South Chicago Heights, IL 60411-4736
Phone (708) 441-2158

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567641600000",
    "number": "1134778996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2843 CHICAGO RD",
            "city": "SOUTH CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604114736",
            "telephone_number": "708-441-2158",
            "fax_number": "708-575-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2843 CHICAGO RD",
            "city": "SOUTH CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604114736",
            "telephone_number": "708-441-2158",
            "fax_number": "708-575-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY AWARENESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-09-05",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "GINGER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "708-441-2158",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Chicago Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.