Active NPI
Audrey Woodley
- Non-emergency Medical Transport (VAN)
- Chicago, IL
National Provider Identifier
1568120459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Practice address
- 1 N State St
Chicago, IL 60602-3302 - Phone
- (773) 837-0967
- Fax
- (773) 688-2834
- NPI assigned
- Dec 7, 2021
- Last updated
- Dec 7, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | NU | Primary | |
| Private Vehicle | 347C00000X | NU |
Addresses
Primary practice location
1 N State St
Chicago, IL 60602-3302
Mailing address
1 N State St
Chicago, IL 60602-3302
Phone (773) 837-0967
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20-0270910 | Other | IL | NON-MEDICAL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | AStarCareServices |
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": "1638835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638835200000",
"number": "1568120459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 N STATE ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606023302",
"telephone_number": "773-837-0967",
"fax_number": "773-688-2834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 N STATE ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606023302",
"telephone_number": "773-837-0967",
"fax_number": "773-688-2834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODLEY",
"first_name": "AUDREY",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-07",
"last_updated": "2021-12-07",
"certification_date": "2021-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NON-MEDICAL",
"identifier": "20-0270910",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "AStarCareServices",
"affiliation": "N",
"endpointDescription": "Mailing address",
"address_1": "1 N State St",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606023302",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Dec 7, 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.