Individual provider Active NPI

Lina Niauriene

  • Contractor
  • Indian Head Park, IL
National Provider Identifier
1194134387
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
227.004117 Issued in IL
Practice address
6810 Joliet Rd Apt 9
Indian Head Park, IL 60525-9018
Phone
(847) 693-0637
NPI assigned
Aug 13, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 227.004117 IL Primary

Addresses

Primary practice location

6810 Joliet Rd Apt 9
Indian Head Park, IL 60525-9018

Mailing address

6810 Joliet Rd Apt 9
Indian Head Park, IL 60525-9018
Phone (847) 693-0637

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

State licenses

LicenseStateTypeSpecialty
227.004117ILMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407888000000",
    "number": "1194134387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 JOLIET RD APT 9",
            "city": "INDIAN HEAD PARK",
            "state": "IL",
            "postal_code": "605259018",
            "telephone_number": "847-693-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 JOLIET RD APT 9",
            "city": "INDIAN HEAD PARK",
            "state": "IL",
            "postal_code": "605259018",
            "telephone_number": "847-693-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIAURIENE",
        "first_name": "LINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "IL",
            "license": "227.004117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Head Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.

Verify at the official NPI Registry.