Active NPI
Sunnette Christine Varnado-Smith, M.D., FAAP
- Pediatrics Physician
- Calumet City, IL
National Provider Identifier
1396757407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036-082280
- Practice address
- 305 Ruth Street
Calumet City, IL 60409-5227 - Phone
- (708) 305-3403
- Fax
- (708) 862-0211
- NPI assigned
- Aug 13, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036-082280 | IL | Primary |
Addresses
Primary practice location
305 Ruth Street
Calumet City, IL 60409-5227
Mailing address
305 Ruth Street
Calumet City, IL 60409-5227
Phone (708) 305-3403
Other names 1
- Sunnette C Varnado
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-082280 | IL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692230400000",
"number": "1396757407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 RUTH STREET",
"city": "CALUMET CITY",
"state": "IL",
"postal_code": "604095227",
"telephone_number": "708-305-3403",
"fax_number": "708-862-0211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 RUTH STREET",
"city": "CALUMET CITY",
"state": "IL",
"postal_code": "604095227",
"telephone_number": "708-305-3403",
"fax_number": "708-862-0211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARNADO-SMITH",
"first_name": "SUNNETTE",
"middle_name": "CHRISTINE",
"name_prefix": "Mrs.",
"credential": "M.D., FAAP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2023-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036-082280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUNNETTE",
"last_name": "VARNADO",
"middle_name": "C",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Calumet City, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.