Individual provider Active NPI

Mary Soeding, RN, PEL-CSN

  • School Registered Nurse
  • Chicago, IL
National Provider Identifier
1518327352
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
041292429 Issued in IL
Practice address
932 W Ainslie St Apt 3
Chicago, IL 60640-3790
Phone
(773) 575-7974
NPI assigned
Mar 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 041292429 IL Primary

Addresses

Primary practice location

932 W Ainslie St Apt 3
Chicago, IL 60640-3790

Mailing address

932 W Ainslie St Apt 3
Chicago, IL 60640-3790
Phone (773) 575-7974

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
041292429ILMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457049600000",
    "number": "1518327352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 W AINSLIE ST APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606403790",
            "telephone_number": "773-575-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 W AINSLIE ST APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606403790",
            "telephone_number": "773-575-7974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOEDING",
        "first_name": "MARY",
        "credential": "RN, PEL-CSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "IL",
            "license": "041292429",
            "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 Mar 4, 2016; 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.