Active NPI
Mamie Bryant
- Registered Nurse
- Chicago, IL
National Provider Identifier
1659669083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 041-168769
- Practice address
- 2951 S King Dr
Apt. 1317
Chicago, IL 60616-3344 - Phone
- (312) 326-3694
- Fax
- (312) 326-3694
- NPI assigned
- Jul 19, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041-168769 | IL | Primary |
Addresses
Primary practice location
2951 S King Dr
Apt. 1317
Chicago, IL 60616-3344
Mailing address
2951 So. King Dr.
Apt. 1317
Chicago, IL 60616-3362
Phone (312) 326-3694
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 |
|---|---|---|---|
| 041-168769 | IL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311033600000",
"number": "1659669083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2951 SO. KING DR.",
"address_2": "APT. 1317",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606163362",
"telephone_number": "312-326-3694",
"fax_number": "312-326-3694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2951 S KING DR",
"address_2": "APT. 1317",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606163344",
"telephone_number": "312-326-3694",
"fax_number": "312-326-3694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT",
"first_name": "MAMIE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-19",
"last_updated": "2011-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041-168769",
"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 Jul 19, 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.