Individual provider Active NPI

Yolanda Zoleta

  • Community Health Worker
  • Chicago, IL
National Provider Identifier
1497293229
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
6323 N Avondale Ave Ste 102
Chicago, IL 60631-1958
Phone
(773) 594-1923
Fax
(773) 594-1924
NPI assigned
Jan 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X IL Primary

Addresses

Primary practice location

6323 N Avondale Ave Ste 102
Chicago, IL 60631-1958

Mailing address

3507 Lakewood Dr
Crystal Lake, IL 60012-2078
Phone (773) 594-1923

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

NPI Registry JSON

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1497293229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 LAKEWOOD DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600122078",
            "telephone_number": "773-594-1923",
            "fax_number": "773-594-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6323 N AVONDALE AVE STE 102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311958",
            "telephone_number": "773-594-1923",
            "fax_number": "773-594-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLETA",
        "first_name": "YOLANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 31, 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.

Verify at the official NPI Registry.