Individual provider Active NPI

Cady Elredy, LAC

  • Acupuncturist
  • Chicago, IL
National Provider Identifier
1497219349
Registry record updated Jul 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198.001409 Issued in IL
Practice address
3234 W Fullerton Ave
Chicago, IL 60647-2594
Phone
(773) 466-9882
NPI assigned
Jan 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 198001409 IL
Acupuncturist 171100000X 198.001409 IL Primary

Addresses

Primary practice location

3234 W Fullerton Ave
Chicago, IL 60647-2594

Mailing address

922 North Blvd Apt 408
Oak Park, IL 60301-1242
Phone (469) 777-1133

Other practice location 1

4300 Commerce Ct Ste 318
Lisle, IL 60532-3698
Phone (469) 777-1133

Other identifiers 1

IdentifierTypeStateIssuer
198.001409OtherILSTATE OF ILLINOIS DEPARTMENT OF FINANCIAL & PROFESSIONAL REGULATION

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
198.001409ILMDAcupuncturist
198001409ILMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Five Point Holistic Health Acupuncturist PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562457600000",
    "number": "1497219349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 NORTH BLVD APT 408",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011242",
            "telephone_number": "469-777-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3234 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472594",
            "telephone_number": "773-466-9882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 Commerce Ct Ste 318",
            "address_purpose": "LOCATION",
            "city": "Lisle",
            "state": "IL",
            "postal_code": "605323698",
            "country_code": "US",
            "telephone_number": "469-777-1133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELREDY",
        "first_name": "CADY",
        "name_prefix": "Mrs.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198001409",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.001409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ILLINOIS DEPARTMENT OF FINANCIAL & PROFESSIONAL REGULATION",
            "identifier": "198.001409",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2019; 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.