NPIMap

Organization Active NPI

Southern Illinois University

Doing business as Community Nursing Services

  • Clinic/Center
  • E Saint Louis, IL
National Provider Identifier
1306273776
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SOUTHERN ILLINOIS UNIVERSITY
Doing business as
Community Nursing Services
Practice address
601 James R Thompson Blvd
Building D, Suite 2015
E Saint Louis, IL 62201-1129
Phone
(618) 482-6959
Fax
(618) 482-8311
NPI assigned
Oct 1, 2013
Last updated
Oct 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

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

Authorized official

Name
Kim Wenona White, PHD, PHCNS-BCNPI 1427470368
Title
Executive Director
Phone
(618) 482-6959

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

601 James R Thompson Blvd
Building D, Suite 2015
E Saint Louis, IL 62201-1129

Mailing address

601 James R Thompson Blvd
Building D, Suite 2015
E Saint Louis, IL 62201-1129
Phone (618) 482-6959

Other names 1

  • Community Nursing Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Board of Trustees of Siu Governing Siue6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 92

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 92

NPI Registry JSON

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380585600000",
    "number": "1306273776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 JAMES R THOMPSON BLVD",
            "address_2": "BUILDING D, SUITE 2015",
            "city": "E SAINT LOUIS",
            "state": "IL",
            "postal_code": "622011129",
            "telephone_number": "618-482-6959",
            "fax_number": "618-482-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 JAMES R THOMPSON BLVD",
            "address_2": "BUILDING D, SUITE 2015",
            "city": "E SAINT LOUIS",
            "state": "IL",
            "postal_code": "622011129",
            "telephone_number": "618-482-6959",
            "fax_number": "618-482-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ILLINOIS UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-01",
        "last_updated": "2013-10-01",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "WENONA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "618-482-6959",
        "authorized_official_credential": "PHD, PHCNS-BC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Nursing Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in E Saint Louis, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; 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.