Active NPI
Eileen Mary Enlow, RN
- Registered Nurse
- Flora, IL
National Provider Identifier
1376635243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- Practice address
- 201 E N Avenue
Clay Medical Center
Flora, IL 62839 - Phone
- (618) 662-8386
- Fax
- (618) 662-4338
- NPI assigned
- Sep 29, 2006
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | IL | Primary |
Addresses
Primary practice location
201 E N Avenue
Clay Medical Center
Flora, IL 62839
Mailing address
PO Box 155
Rea Clinic
Christopher, IL 62822
Phone (618) 724-2401
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041123019 | IL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376635243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 155",
"address_2": "REA CLINIC",
"city": "CHRISTOPHER",
"state": "IL",
"postal_code": "62822",
"telephone_number": "618-724-2401",
"fax_number": "618-724-2571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E N AVENUE",
"address_2": "CLAY MEDICAL CENTER",
"city": "FLORA",
"state": "IL",
"postal_code": "62839",
"telephone_number": "618-662-8386",
"fax_number": "618-662-4338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENLOW",
"first_name": "EILEEN",
"middle_name": "MARY",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.