Active NPI
Alexis Warren
- Driver
- Chicago, IL
National Provider Identifier
1609468644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- W65000087945
- Practice address
- 225 W Washington St
Chicago, IL 60606-2418 - Phone
- (312) 741-1086
- NPI assigned
- Feb 10, 2021
- 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 |
|---|---|---|---|---|
| Driver | 172A00000X | W65000087945 | IL | Primary |
Addresses
Primary practice location
225 W Washington St
Chicago, IL 60606-2418
Mailing address
1116 Garfield St Unit 4293
Oak Park, IL 60304-0752
Phone (312) 741-1086
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 |
|---|---|---|---|
| W65000087945 | IL | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612915200000",
"number": "1609468644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1116 GARFIELD ST UNIT 4293",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603040752",
"telephone_number": "312-741-1086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 W WASHINGTON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606062418",
"telephone_number": "312-741-1086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "ALEXIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-10",
"last_updated": "2021-02-10",
"certification_date": "2021-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "IL",
"license": "W65000087945",
"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 Feb 10, 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.