Active NPI
Nicholas Lembares, MS
- Community Health Worker
- Tinley Park, IL
National Provider Identifier
1457792574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 0866
- Practice address
- 15941 Harlem Ave
Suite 382
Tinley Park, IL 60477-1609 - Phone
- (708) 684-5480
- Fax
- (708) 684-3055
- NPI assigned
- Jul 17, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 0866 | IL | Primary |
Addresses
Primary practice location
15941 Harlem Ave
Suite 382
Tinley Park, IL 60477-1609
Mailing address
15941 Harlem Ave
Suite 382
Tinley Park, IL 60477-1609
Phone (708) 684-5480
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0866 | IL | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374019200000",
"number": "1457792574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15941 HARLEM AVE",
"address_2": "SUITE 382",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604771609",
"telephone_number": "708-684-5480",
"fax_number": "708-684-3055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15941 HARLEM AVE",
"address_2": "SUITE 382",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604771609",
"telephone_number": "708-684-5480",
"fax_number": "708-684-3055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMBARES",
"first_name": "NICHOLAS",
"name_prefix": "Mr.",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-17",
"last_updated": "2013-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "IL",
"license": "0866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tinley Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.