NPIMap

Organization Active NPI

Practical Network Consulting Inc

  • Early Intervention Provider Agency
  • Herrin, IL
National Provider Identifier
1619348778
Registry record updated Oct 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
PRACTICAL NETWORK CONSULTING INC
Practice address
858 Starlight CT
Herrin, IL 62948-2445
Phone
(618) 942-5096
NPI assigned
Oct 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2015

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

Authorized official

Name
Mrs. Karla Annette BlakeNPI 1558484287
Title
Vice President
Phone
(618) 942-5096

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

858 Starlight CT
Herrin, IL 62948-2445

Mailing address

858 Starlight CT
Herrin, IL 62948-2445
Phone (618) 942-5096

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444867200000",
    "number": "1619348778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "858 STARLIGHT CT",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629482445",
            "telephone_number": "618-942-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "858 STARLIGHT CT",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629482445",
            "telephone_number": "618-942-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTICAL NETWORK CONSULTING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-10-15",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "KARLA",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "618-942-5096",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herrin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; 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.