Active NPI
Winsome Thomas, LPN
- Licensed Practical Nurse
- Westchester, IL
National Provider Identifier
1356863237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 043081712
- Practice address
- 2635 Somerset Dr
Westchester, IL 60154-5313 - Phone
- (708) 531-1437
- NPI assigned
- Jul 12, 2017
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 043081712 | IL | Primary |
Addresses
Primary practice location
2635 Somerset Dr
Westchester, IL 60154-5313
Mailing address
PO Box 1003
Oak Park, IL 60304-0003
Phone (708) 654-1411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043081712 | Other | IL | PRIVATE |
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 |
|---|---|---|---|
| 043081712 | IL | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499817600000",
"number": "1356863237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1003",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603040003",
"telephone_number": "708-654-1411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2635 SOMERSET DR",
"city": "WESTCHESTER",
"state": "IL",
"postal_code": "601545313",
"telephone_number": "708-531-1437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "WINSOME",
"name_prefix": "Miss",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-12",
"last_updated": "2017-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "IL",
"license": "043081712",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE",
"identifier": "043081712",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westchester, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.