Individual provider Active NPI

Jennifer Lynn Sizemore, BCBA

  • Behavior Analyst
  • Libertyville, IL
National Provider Identifier
1437764131
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-42627 Issued in IL
Practice address
800 S Milwaukee Ave
Libertyville, IL 60048-3254
Phone
(847) 918-7947
NPI assigned
Sep 10, 2020
Last updated
Sep 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-20-42627 IL Primary

Addresses

Primary practice location

800 S Milwaukee Ave
Libertyville, IL 60048-3254

Mailing address

800 S Milwaukee Ave Ste 220
Libertyville, IL 60048-3217
Phone (847) 918-7947

Other practice location 1

8 Shore Dr
Schaumburg, IL 60193-4127
Phone (224) 523-2739

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates, Inc. PastSince Sep 13, 2020 Accepting new patients
Rci (WRS), LLC PastSince Sep 13, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1437764131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S MILWAUKEE AVE STE 220",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483217",
            "telephone_number": "847-918-7947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S MILWAUKEE AVE",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483254",
            "telephone_number": "847-918-7947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Shore Dr",
            "address_purpose": "LOCATION",
            "city": "Schaumburg",
            "state": "IL",
            "postal_code": "601934127",
            "country_code": "US",
            "telephone_number": "224-523-2739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIZEMORE",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-20-42627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.