Individual provider Active NPI

Diane Anzelde

  • Driver
  • Schaumburg, IL
National Provider Identifier
1437334802
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
A524-1734-4921 Issued in IL
Practice address
2548 Crooked Creek Rd
204
Schaumburg, IL 60173-5599
Phone
(847) 397-8497
NPI assigned
Jan 4, 2008
Last updated
Jan 4, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X A524-1734-4921 IL Primary

Addresses

Primary practice location

2548 Crooked Creek Rd
204
Schaumburg, IL 60173-5599

Mailing address

2548 Crooked Creek Rd
204
Schaumburg, IL 60173-5599
Phone (847) 397-8497

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

LicenseStateTypeSpecialty
A524-1734-4921ILMDDriver

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199404800000",
    "number": "1437334802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2548 CROOKED CREEK RD",
            "address_2": "204",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735599",
            "telephone_number": "847-397-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2548 CROOKED CREEK RD",
            "address_2": "204",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735599",
            "telephone_number": "847-397-8497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANZELDE",
        "first_name": "DIANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-04",
        "last_updated": "2008-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "IL",
            "license": "A524-1734-4921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.