Active NPI
Sage Teasley, MD
- Basic Emergency Medical Technician
- Chicago, IL
National Provider Identifier
1407473465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- LA19-1016
- Practice address
- 1969 W Ogden Ave
Chicago, IL 60612-3765 - Phone
- (312) 864-6000
- NPI assigned
- Jun 25, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 125.088817 | IL | |
| Basic Emergency Medical Technician | 146N00000X | LA19-1016 | LA | Primary |
Addresses
Primary practice location
1969 W Ogden Ave
Chicago, IL 60612-3765
Mailing address
565 W Quincy St Unit 1602
Chicago, IL 60661-2912
Phone (703) 347-5682
Other practice location 1
11212 Hunting Horse Dr
Fairfax Station, VA 22039-2017
Phone (703) 347-5682
Other practice location 2
Kayenta Health Center
Hwy 160 M.P. 394.3
Kayenta, AZ 86033
Phone (928) 697-4000
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
- Emergency Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LA19-1016 | LA | MD | Basic Emergency Medical Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783382400000",
"number": "1407473465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "565 W QUINCY ST UNIT 1602",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606612912",
"telephone_number": "703-347-5682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1969 W OGDEN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123765",
"telephone_number": "312-864-6000"
}
],
"practiceLocations": [
{
"address_1": "11212 Hunting Horse Dr",
"address_purpose": "LOCATION",
"city": "Fairfax Station",
"state": "VA",
"postal_code": "220392017",
"country_code": "US",
"telephone_number": "703-347-5682",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Kayenta Health Center",
"address_2": "HWY 160 M.P. 394.3",
"address_purpose": "LOCATION",
"city": "Kayenta",
"state": "AZ",
"postal_code": "86033",
"country_code": "US",
"telephone_number": "928-697-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TEASLEY",
"first_name": "SAGE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-25",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "125.088817",
"primary": false
},
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "LA",
"license": "LA19-1016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.