Active NPI
Sara Nass, LMT
- Specialist
- Island Lake, IL
National Provider Identifier
1376948133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 227014152
- Practice address
- 4405 Roberts Rd
Island Lake, IL 60042-8517 - Phone
- (847) 514-4339
- NPI assigned
- Oct 22, 2014
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 227014152 | IL | Primary |
Addresses
Primary practice location
4405 Roberts Rd
Island Lake, IL 60042-8517
Mailing address
4405 Roberts Rd
Island Lake, IL 60042-8517
Phone (847) 514-4339
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 227014152 | Other | IL | LMT LICENSE |
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 |
|---|---|---|---|
| 227014152 | IL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413936000000",
"number": "1376948133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4405 ROBERTS RD",
"city": "ISLAND LAKE",
"state": "IL",
"postal_code": "600428517",
"telephone_number": "847-514-4339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4405 ROBERTS RD",
"city": "ISLAND LAKE",
"state": "IL",
"postal_code": "600428517",
"telephone_number": "847-514-4339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASS",
"first_name": "SARA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-22",
"last_updated": "2014-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "227014152",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMT LICENSE",
"identifier": "227014152",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Island Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.