Active NPI
Amanda Crew- Henry
- Non-emergency Medical Transport (VAN)
- Chicago, IL
National Provider Identifier
1376184606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Practice address
- 55 E Monroe St
Chicago, IL 60603-5713 - Phone
- (312) 725-3891
- NPI assigned
- Oct 8, 2019
- 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 |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | IL | Primary |
Addresses
Primary practice location
55 E Monroe St
Chicago, IL 60603-5713
Mailing address
6951 S King Dr
Chicago, IL 60637-4613
Phone (773) 997-1097
Other practice location 1
6951 S King Dr
Chicago, IL 60637-4613
Phone (773) 997-1097 ext. 77399
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | qpc925@yahoo.com | Direct | |
| CONNECT URL | network | Direct | |
| CONNECT URL | network | Direct | |
| CONNECT URL | qpc925@yahoo.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": "1570492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570492800000",
"number": "1376184606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6951 S KING DR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606374613",
"telephone_number": "773-997-1097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 E MONROE ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606035713",
"telephone_number": "312-725-3891"
}
],
"practiceLocations": [
{
"address_1": "6951 S King Dr",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606374613",
"country_code": "US",
"telephone_number": "773-997-1097 x77399",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CREW- HENRY",
"first_name": "AMANDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-08",
"last_updated": "2019-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "qpc925@yahoo.com",
"affiliation": "N",
"endpointDescription": "qpc92519@yahoo.com",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "6951 S King Dr",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606374613",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "network",
"affiliation": "N",
"endpointDescription": "computer",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "6951 S King Dr",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606374613",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "network",
"affiliation": "N",
"endpointDescription": "computer",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "6951 S King Dr",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606374613",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "qpc925@yahoo.com",
"affiliation": "N",
"endpointDescription": "qpc92519@yahoo.com",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "6951 S King Dr",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606374613",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.