Individual provider Active NPI

Lawanda E Bingham-Woods, RN, MSN

  • General Practice Registered Nurse
  • Riverdale, IL
National Provider Identifier
1598063406
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
041-254055 Issued in IL
Practice address
14202 S Union Ave
Riverdale, IL 60827-2317
Phone
(773) 230-8092
Fax
(708) 841-1697
NPI assigned
Mar 2, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 041-254055 IL Primary

Addresses

Primary practice location

14202 S Union Ave
Riverdale, IL 60827-2317

Mailing address

14202 S. Union Ave
Riverdale, IL 60827
Phone (773) 230-8092

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
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
041-254055ILMDGeneral Practice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1598063406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14202 S. UNION AVE",
            "city": "RIVERDALE",
            "state": "IL",
            "postal_code": "60827",
            "telephone_number": "773-230-8092",
            "fax_number": "708-841-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14202 S UNION AVE",
            "city": "RIVERDALE",
            "state": "IL",
            "postal_code": "608272317",
            "telephone_number": "773-230-8092",
            "fax_number": "708-841-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINGHAM-WOODS",
        "first_name": "LAWANDA",
        "middle_name": "E",
        "credential": "RN, MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-02",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "IL",
            "license": "041-254055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.