Individual provider Active NPI

Sherieka A Linzy

  • Prosthetic/Orthotic Supplier
  • Glendale Heights, IL
National Provider Identifier
1316600208
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Practice address
449 Sidney Ave Unit B
Glendale Heights, IL 60139-3153
Phone
(630) 440-6276
NPI assigned
Oct 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

449 Sidney Ave Unit B
Glendale Heights, IL 60139-3153

Mailing address

449 Sidney Ave Unit B
Glendale Heights, IL 60139-3153
Phone (630) 440-6276

Other identifiers 1

IdentifierTypeStateIssuer
L52078180842OtherILDRIVER'S LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL gmail

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": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1316600208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 SIDNEY AVE UNIT B",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601393153",
            "telephone_number": "630-440-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 SIDNEY AVE UNIT B",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601393153",
            "telephone_number": "630-440-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINZY",
        "first_name": "SHERIEKA",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE",
            "identifier": "L52078180842",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "gmail",
            "affiliation": "N",
            "address_1": "449 Sidney Ave Unit B",
            "city": "Glendale Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601393153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glendale Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.