Southside Assistants, Inc.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209009090 Issued in IL

Legal business name

SOUTHSIDE ASSISTANTS, INC.

Practice address

21200 S Lagrange Rd
Suite 134
Frankfort, IL 60423-2003

Phone

(708) 256-0816

Fax

(815) 534-5576

NPI assigned

May 8, 2007

Last updated

Oct 11, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian Johnson, FNP-C, MSNNPI 1124180708

Title

Family Nurse Practitioner

Phone

(708) 256-0816

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Keith Johnson, FNP-C, CRNFA, MSN

  • Family Nurse Practitioner
  • Frankfort, IL
  • NPI 1124180708
  Authorized official Same address or phone

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1619180106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21200 S LAGRANGE RD",
            "address_2": "SUITE 134",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604232003",
            "telephone_number": "708-256-0816",
            "fax_number": "815-534-5576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21200 S LAGRANGE RD",
            "address_2": "SUITE 134",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604232003",
            "telephone_number": "708-256-0816",
            "fax_number": "815-534-5576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSIDE ASSISTANTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "708-256-0816",
        "authorized_official_credential": "FNP-C, MSN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209009090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Marie Snow, D.D.S.
• Pamela G Sottosanto
• Lanny R. South, DO
• Andrea Jean Southall, RPH,CDM
• Southerncare, Inc. (Heartland Hospice (Frankfort))
• Southwest Holistic Chiropractic, LTD.
• Specialty Physicians of Illinois, LLC
• Speech Plus, P.C.
• Speechease PLLC
• Craig A Spencer, DDS

• Family Nurse Practitioner in Frankfort, IL
• Providers in Frankfort, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.