Tina Nolan

Primary specialty

DriverTaxonomy code 172A00000X

License

B55081371913 Issued in IL

Practice address

24813 S McCormick Way
Manhattan, IL 60442-7768

Phone

(815) 954-1634

NPI assigned

Dec 8, 2021

Last updated

Dec 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1467110361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24813 S MCCORMICK WAY",
            "city": "MANHATTAN",
            "state": "IL",
            "postal_code": "604427768",
            "telephone_number": "815-954-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24813 S MCCORMICK WAY",
            "city": "MANHATTAN",
            "state": "IL",
            "postal_code": "604427768",
            "telephone_number": "815-954-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "TINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "IL",
            "license": "B55081371913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Morgan4447@comcast.net",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "24813 S McCormick Way",
            "city": "Manhattan",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604427768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alicia McLaughlin, APRN
• Catherine Marie Mendenhall, NP
• Kelly Morgan Meyer, SLP
• Nicolas Miller
• Joseph Newtoff
• Joann Orr
• Marlene Ariel Ortega, RDN
• Jaime L Pac, PSY.D.
• Anna Marie Parks, LCPC
• Ashley Pawlak

• Driver in Manhattan, IL
• Providers in Manhattan, IL by specialty
• Driver in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.