Active NPI
Cindy Weatherspoon
- Registered Nurse
- Flossmoor, IL
National Provider Identifier
1245838820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 041243433
- Practice address
- 3015 Harolds Cres
Flossmoor, IL 60422-2009 - Phone
- (708) 420-6057
- NPI assigned
- Oct 15, 2020
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041243433 | IL | Primary |
Addresses
Primary practice location
3015 Harolds Cres
Flossmoor, IL 60422-2009
Mailing address
3236 W 85TH PL
Chicago, IL 60652-3757
Phone (773) 816-0427
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
| License | State | Type | Specialty |
|---|---|---|---|
| 041243433 | IL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bottles to Spoons, Inc. | Registered Nurse | 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.
-
- Registered Nurse
- Flossmoor, IL
- NPI 1376688036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602720000000",
"number": "1245838820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3236 W 85TH PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606523757",
"telephone_number": "773-816-0427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3015 HAROLDS CRES",
"city": "FLOSSMOOR",
"state": "IL",
"postal_code": "604222009",
"telephone_number": "708-420-6057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEATHERSPOON",
"first_name": "CINDY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-15",
"last_updated": "2020-10-15",
"certification_date": "2020-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "IL",
"license": "041243433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flossmoor, IL
- Gregory Anthony Washington II
- Patricia Ashley Washington, LAC, DAOM, OMD
- Sabrina Washington, DHA
- Michelle Watts
- WCS Occupational Rehabilitation & Sports Medicine, Inc.
- Marilyn Margarita Weaver, REGISTERED NURSE
- Raziya Webster, EDD
- Wedgeworth Medical Services
- Ronald Weglarz, PSYD
- Ilene Weintraub Yohay, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.