Individual provider Active NPI

Amada Lucia Cordova

  • Interpreter
  • Blue Island, IL
National Provider Identifier
1598092439
Registry record updated Nov 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
InterpreterTaxonomy code 171R00000X
License
C63101248751 Issued in IL
Practice address
12832 Wood St
Blue Island, IL 60406-3437
Phone
(708) 743-3932
NPI assigned
Nov 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interpreter 171R00000X C63101248751 IL Primary

Addresses

Primary practice location

12832 Wood St
Blue Island, IL 60406-3437

Mailing address

12832 Wood St
Blue Island, IL 60406-3437
Phone (708) 743-3932

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

State licenses

LicenseStateTypeSpecialty
C63101248751ILMDInterpreter

NPI Registry JSON

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

{
    "created_epoch": "1258070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258070400000",
    "number": "1598092439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12832 WOOD ST",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604063437",
            "telephone_number": "708-743-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12832 WOOD ST",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604063437",
            "telephone_number": "708-743-3932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOVA",
        "first_name": "AMADA",
        "middle_name": "LUCIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-13",
        "last_updated": "2009-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171R00000X",
            "taxonomy_group": "",
            "desc": "Interpreter",
            "state": "IL",
            "license": "C63101248751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Island, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; 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.