Individual provider Active NPI

Linda Jean Williams, CRTT, RCP

  • SNF/Subacute Care Certified Respiratory Therapist
  • Matteson, IL
National Provider Identifier
1245433853
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SNF/Subacute Care Certified Respiratory TherapistTaxonomy code 2278S1500X
License
194.003707 Issued in IL
Practice address
5311 Northwestern Dr
Matteson, IL 60443-1677
Phone
(708) 720-0740
NPI assigned
Jun 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SNF/Subacute Care Certified Respiratory Therapist 2278S1500X 194.003707 IL Primary

Addresses

Primary practice location

5311 Northwestern Dr
Matteson, IL 60443-1677

Mailing address

5311 Northwestern Dr
Matteson, IL 60443-1677
Phone (708) 720-0740

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
194.003707ILMDSNF/Subacute Care Certified Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1181347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216684800000",
    "number": "1245433853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 NORTHWESTERN DR",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604431677",
            "telephone_number": "708-720-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5311 NORTHWESTERN DR",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604431677",
            "telephone_number": "708-720-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LINDA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "CRTT, RCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-09",
        "last_updated": "2008-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278S1500X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, SNF/Subacute Care",
            "state": "IL",
            "license": "194.003707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matteson, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.