Active NPI
Christie M Little, RN, BSN
- Licensed Practical Nurse
- Normal, IL
National Provider Identifier
1164839742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 041.370753
- Practice address
- 1604 Visa Dr.
Ste. 2
Normal, IL 61761 - Phone
- (309) 846-4716
- Fax
- (309) 454-7346
- NPI assigned
- Jul 16, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 041.370753 | IL | Primary |
Addresses
Primary practice location
1604 Visa Dr.
Ste. 2
Normal, IL 61761
Mailing address
1604 Visa Dr.
Ste. 2
Normal, IL 61761
Phone (309) 846-4716
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
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.370753 | IL | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Your Extra Hands Surgical Services | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgical Assistant
- Normal, IL
- NPI 1154502466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405468800000",
"number": "1164839742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 VISA DR.",
"address_2": "STE. 2",
"city": "NORMAL",
"state": "IL",
"postal_code": "61761",
"telephone_number": "309-846-4716",
"fax_number": "309-454-7346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1604 VISA DR.",
"address_2": "STE. 2",
"city": "NORMAL",
"state": "IL",
"postal_code": "61761",
"telephone_number": "309-846-4716",
"fax_number": "309-454-7346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITTLE",
"first_name": "CHRISTIE",
"middle_name": "M",
"credential": "RN, BSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-16",
"last_updated": "2014-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "IL",
"license": "041.370753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Normal, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.