Active NPI
Anita Sims
- Driver
- Country Club Hills, IL
National Provider Identifier
1336533843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- S52000182654
- Practice address
- 18612 Maple Ave
Country Club Hills, IL 60478-5692 - Phone
- (630) 886-6513
- NPI assigned
- Mar 23, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Driver | 172A00000X | S52000182654 | IL | Primary |
Addresses
Primary practice location
18612 Maple Ave
Country Club Hills, IL 60478-5692
Mailing address
18612 Maple Ave
Country Club Hills, IL 60478-5692
Phone (630) 886-6513
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 |
|---|---|---|---|
| S52000182654 | IL | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427068800000",
"number": "1336533843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18612 MAPLE AVE",
"city": "COUNTRY CLUB HILLS",
"state": "IL",
"postal_code": "604785692",
"telephone_number": "630-886-6513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18612 MAPLE AVE",
"city": "COUNTRY CLUB HILLS",
"state": "IL",
"postal_code": "604785692",
"telephone_number": "630-886-6513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMS",
"first_name": "ANITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-23",
"last_updated": "2015-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "IL",
"license": "S52000182654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Country Club Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.