Dimetrius Nunn

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

11515 S Prairie Ave
Chicago, IL 60628-5611

Phone

(312) 686-4877

NPI assigned

Jan 27, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1295488666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 E 157TH PL",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604731525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11515 S PRAIRIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606285611",
            "telephone_number": "312-686-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNN",
        "first_name": "DIMETRIUS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tania E Nunez, LCPC
• Yolanda Nunez, R.N.
• Anna Nungester
• Nunilo G Rubio MD SC
• Paris Nunley, SA-C, LSA, CSFA,CST
• James Nunn, MD
• Shonquil Nunn, RN
• Ravi Nunna, M.D.
• Karla M Nunnally
• Mark E Nunnally, MD

• Community Health Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Community Health Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.

Verify at the official NPI Registry.