Active NPI
Shayna Friedman, APN
- Family Nurse Practitioner
- Arlington HTS, IL
National Provider Identifier
1154728178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.011531
- Practice address
- 1630 W Central Rd
Arlington HTS, IL 60005-2407 - Phone
- (847) 394-3553
- Fax
- (847) 394-3574
- NPI assigned
- Nov 20, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.011531 | IL | Primary |
Addresses
Primary practice location
1630 W Central Rd
Arlington HTS, IL 60005-2407
Mailing address
1630 W, Central Rd
Arlington HGTS, IL 60005
Phone (847) 394-3553
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.011531 | IL | MD | Family Nurse Practitioner |
Interoperability endpoints
- sfriedman@nwwc.gwaydirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416441600000",
"number": "1154728178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1630 W, CENTRAL RD",
"city": "ARLINGTON HGTS",
"state": "IL",
"postal_code": "60005",
"telephone_number": "847-394-3553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1630 W CENTRAL RD",
"city": "ARLINGTON HTS",
"state": "IL",
"postal_code": "600052407",
"telephone_number": "847-394-3553",
"fax_number": "847-394-3574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDMAN",
"first_name": "SHAYNA",
"name_prefix": "Mrs.",
"credential": "APN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-20",
"last_updated": "2014-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.011531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington HTS, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.