Active NPI
Maria Natividad, RN,BSN,CDE
- Diabetes Educator Registered Nurse
- Orland Park, IL
National Provider Identifier
1508140385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- 041.245319
- Practice address
- 15300 West Ave
Orland Park, IL 60462-4600 - Phone
- (708) 403-8400
- Fax
- (708) 403-8492
- NPI assigned
- Sep 28, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | 041.245319 | IL | Primary |
Addresses
Primary practice location
15300 West Ave
Orland Park, IL 60462-4600
Mailing address
15300 West Ave
Orland Park, IL 60462-4600
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
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.245319 | IL | MD | Diabetes Educator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395878400000",
"number": "1508140385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15300 WEST AVE",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604624600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15300 WEST AVE",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604624600",
"telephone_number": "708-403-8400",
"fax_number": "708-403-8492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATIVIDAD",
"first_name": "MARIA",
"name_prefix": "Mrs.",
"credential": "RN,BSN,CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-28",
"last_updated": "2014-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "IL",
"license": "041.245319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.