Individual provider Active NPI

Cordelia Tseumah

  • Family Nurse Practitioner
  • Huntley, IL
National Provider Identifier
1144761446
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.015332 Issued in IL
Practice address
9924 Cummings St
Huntley, IL 60142-6038
Phone
(630) 915-5779
NPI assigned
Mar 20, 2017
Last updated
Mar 20, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.015332 IL Primary

Addresses

Primary practice location

9924 Cummings St
Huntley, IL 60142-6038

Mailing address

9924 Cummings St
Huntley, IL 60142-6038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171004001817 IL Practitioner - Nurse Practitioner 8224300645 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.015332ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC CurrentSince Jun 1, 2019 Accepting new patients
Kenig All Rounded Wellness LLC CurrentSince Mar 4, 2026 Accepting new patients
Vpa PC CurrentSince Jun 1, 2019 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Mar 9, 2020 Accepting new patients
Mobile Physicians Inc PastSince Sep 1, 2007 Accepting new patients

Locations

129 S Roselle Rd
Ste 203
Schaumburg, IL 60193
Phone (224) 562-8297

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1144761446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9924 CUMMINGS ST",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601426038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9924 CUMMINGS ST",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601426038",
            "telephone_number": "630-915-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSEUMAH",
        "first_name": "CORDELIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.015332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntley, IL

Sources for this page

Verify at the official NPI Registry.