Active NPI
Jan Renee Weeden
- Private Vehicle
- Calumet City, IL
National Provider Identifier
1235859000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- Practice address
- 300 Webb St Apt 1
Calumet City, IL 60409-4716 - Phone
- (630) 697-3255
- NPI assigned
- Aug 31, 2022
- 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 |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | Primary |
Addresses
Primary practice location
300 Webb St Apt 1
Calumet City, IL 60409-4716
Mailing address
300 Webb St Apt 1
Calumet City, IL 60409-4716
Phone (630) 697-3255
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | mzzjweeden@gmail.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1235859000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 WEBB ST APT 1",
"city": "CALUMET CITY",
"state": "IL",
"postal_code": "604094716",
"telephone_number": "630-697-3255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 WEBB ST APT 1",
"city": "CALUMET CITY",
"state": "IL",
"postal_code": "604094716",
"telephone_number": "630-697-3255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEEDEN",
"first_name": "JAN",
"middle_name": "RENEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-31",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "mzzjweeden@gmail.com",
"affiliation": "N",
"address_1": "300 Webb St Apt 1",
"city": "Calumet City",
"state": "IL",
"country_code": "US",
"postal_code": "604094716",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Calumet City, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.