Individual provider Active NPI

Dorothy Cross Straughter, MS/OTR-L

  • Early Intervention Provider Agency
  • Chicago, IL
National Provider Identifier
1154654093
Registry record updated Sep 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
056.000513 Issued in IL
Practice address
9757 S Longwood Dr
Home
Chicago, IL 60643-1654
Phone
(773) 779-5937
NPI assigned
Sep 10, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 056.000513 IL Primary

Addresses

Primary practice location

9757 S Longwood Dr
Home
Chicago, IL 60643-1654

Mailing address

9757 S Longwood Dr
Home
Chicago, IL 60643-1654
Phone (773) 779-5937

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
Master of Science

State licenses

LicenseStateTypeSpecialty
056.000513ILMDEarly Intervention Provider Agency

NPI Registry JSON

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252540800000",
    "number": "1154654093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9757 S LONGWOOD DR",
            "address_2": "HOME",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431654",
            "telephone_number": "773-779-5937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9757 S LONGWOOD DR",
            "address_2": "HOME",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431654",
            "telephone_number": "773-779-5937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAUGHTER",
        "first_name": "DOROTHY",
        "middle_name": "CROSS",
        "name_prefix": "Mrs.",
        "credential": "MS/OTR-L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IL",
            "license": "056.000513",
            "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 Sep 10, 2009; 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.