Active NPI
Emily Mayer
- Physician Assistant
- Northbrook, IL
National Provider Identifier
1598394694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085.007739
- Practice address
- 1258 Mount Vernon Ter
Northbrook, IL 60062-4427 - Phone
- (847) 525-0816
- NPI assigned
- Apr 2, 2020
- Last updated
- Jan 5, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085.007739 | IL | Primary |
Addresses
Primary practice location
1258 Mount Vernon Ter
Northbrook, IL 60062-4427
Mailing address
1258 Mount Vernon Ter
Northbrook, IL 60062-4427
Phone (847) 525-0816
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
| License | State | Type | Specialty |
|---|---|---|---|
| 085.007739 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightland Health LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641340800000",
"number": "1598394694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1258 MOUNT VERNON TER",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600624427",
"telephone_number": "847-525-0816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1258 MOUNT VERNON TER",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600624427",
"telephone_number": "847-525-0816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYER",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-02",
"last_updated": "2022-01-05",
"certification_date": "2022-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085.007739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.