Active NPI
Nakisha Reynolds, CNA
- Nurse's Aide
- Lansing, IL
National Provider Identifier
1366990053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- CNA1503526
- Practice address
- 18049 Wildwood Ave
Lansing, IL 60438-2221 - Phone
- (773) 699-2218
- NPI assigned
- Sep 12, 2016
- Last updated
- Sep 12, 2016
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | CNA1503526 | IN | Primary |
Addresses
Primary practice location
18049 Wildwood Ave
Lansing, IL 60438-2221
Mailing address
18049 Wildwood Ave
Lansing, IL 60438-2221
Phone (773) 699-2218
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 |
|---|---|---|---|
| CNA1503526 | IN | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473638400000",
"number": "1366990053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18049 WILDWOOD AVE",
"city": "LANSING",
"state": "IL",
"postal_code": "604382221",
"telephone_number": "773-699-2218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18049 WILDWOOD AVE",
"city": "LANSING",
"state": "IL",
"postal_code": "604382221",
"telephone_number": "773-699-2218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "NAKISHA",
"credential": "CNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-12",
"last_updated": "2016-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "IN",
"license": "CNA1503526",
"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 Sep 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.