Active NPI
Carolyn Bea Hoekstra
- Developmental Therapist
- Lansing, IL
National Provider Identifier
1346479045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 18642 Henry St
Lansing, IL 60438-3514 - Phone
- (708) 257-8970
- NPI assigned
- Jul 2, 2009
- 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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
18642 Henry St
Lansing, IL 60438-3514
Mailing address
18642 Henry St
Lansing, IL 60438-3514
Phone (708) 257-8970
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": "1246492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246492800000",
"number": "1346479045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18642 HENRY ST",
"city": "LANSING",
"state": "IL",
"postal_code": "604383514",
"telephone_number": "708-257-8970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18642 HENRY ST",
"city": "LANSING",
"state": "IL",
"postal_code": "604383514",
"telephone_number": "708-257-8970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOEKSTRA",
"first_name": "CAROLYN",
"middle_name": "BEA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-02",
"last_updated": "2009-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lansing, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.