Active NPI
Corita Nadine Crumpton
- Case Manager/Care Coordinator
- Westmont, IL
National Provider Identifier
1457885196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1032 N Oakley LN Apt 108
Westmont, IL 60559-6110 - Phone
- (773) 573-8587
- NPI assigned
- Apr 19, 2017
- Last updated
- Apr 19, 2017
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
1032 N Oakley LN Apt 108
Westmont, IL 60559-6110
Mailing address
1032 N Oakley LN Apt 108
Westmont, IL 60559-6110
Phone (773) 573-8587
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 999999 | Other | CA | CHILD CARE SCHOOL FOR CHILDREN WITH AUTISM |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reign-Bow House LLC | Current | 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.
-
- Clinic/Center
- Lombard, IL
- NPI 1598403313
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Lombard, IL
- NPI 1801608302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492560000000",
"number": "1457885196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1032 N OAKLEY LN APT 108",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605596110",
"telephone_number": "773-573-8587",
"fax_number": "630-568-5586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1032 N OAKLEY LN APT 108",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605596110",
"telephone_number": "773-573-8587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUMPTON",
"first_name": "CORITA",
"middle_name": "NADINE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-19",
"last_updated": "2017-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHILD CARE SCHOOL FOR CHILDREN WITH AUTISM",
"identifier": "999999",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westmont, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.