Individual provider Active NPI

Veronica Maria Rzepniewski

  • Behavior Analyst
  • Lincolnwood, IL
National Provider Identifier
1346882990
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-22-57740 Issued in IL
Practice address
4433 W Touhy Ave # 335
Lincolnwood, IL 60712-1820
Phone
(866) 815-6592
NPI assigned
Oct 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-22-57740 IL Primary
Behavior Technician 106S00000X

Addresses

Primary practice location

4433 W Touhy Ave # 335
Lincolnwood, IL 60712-1820

Mailing address

950 Lee St Ste 210
Des Plaines, IL 60016-6574

Other practice location 1

1308 Waukegan Rd Ste 103
Glenview, IL 60025-3070
Phone (866) 815-6592

Other practice location 2

707 Lake Cook Rd Ste 314
Deerfield, IL 60015-4933
Phone (866) 815-6592

Other practice location 3

950 Lee St Ste 212
Des Plaines, IL 60016-6574
Phone (866) 815-6592

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL veronicar@kidsblossom.com Direct

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": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1346882990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 LEE ST STE 210",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600166574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4433 W TOUHY AVE # 335",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121820",
            "telephone_number": "866-815-6592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1308 Waukegan Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600253070",
            "country_code": "US",
            "telephone_number": "866-815-6592",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "707 Lake Cook Rd Ste 314",
            "address_purpose": "LOCATION",
            "city": "Deerfield",
            "state": "IL",
            "postal_code": "600154933",
            "country_code": "US",
            "telephone_number": "866-815-6592",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950 Lee St Ste 212",
            "address_purpose": "LOCATION",
            "city": "Des Plaines",
            "state": "IL",
            "postal_code": "600166574",
            "country_code": "US",
            "telephone_number": "866-815-6592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RZEPNIEWSKI",
        "first_name": "VERONICA",
        "middle_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-15",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-22-57740",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "veronicar@kidsblossom.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "950 Lee St Ste 212",
            "city": "Des Plaines",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600166574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincolnwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.