Individual provider Active NPI

Cecily Hewitt, CNA CERTIFICATE

  • Nurse's Aide
  • Chicago, IL
National Provider Identifier
1689204976
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
Practice address
4700 S Lake Park Ave Apt 501
Chicago, IL 60615-7011
Phone
(773) 322-5555
Fax
(773) 981-0077
NPI assigned
Jan 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X IL Primary

Addresses

Primary practice location

4700 S Lake Park Ave Apt 501
Chicago, IL 60615-7011

Mailing address

4700 S Lake Park Ave Apt 501
Chicago, IL 60615-7011
Phone (773) 322-5555

Other identifiers 1

IdentifierTypeStateIssuer
000000000000OtherILSTATE

Other names 1

  • Cecily Michelle Hewitt Professional name

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

NPI Registry JSON

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

{
    "created_epoch": "1579910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1689204976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 S LAKE PARK AVE APT 501",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606157011",
            "telephone_number": "773-322-5555",
            "fax_number": "773-981-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 S LAKE PARK AVE APT 501",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606157011",
            "telephone_number": "773-322-5555",
            "fax_number": "773-981-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEWITT",
        "first_name": "CECILY",
        "credential": "CNA CERTIFICATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-25",
        "last_updated": "2022-07-21",
        "certification_date": "2020-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "000000000000",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CECILY",
            "last_name": "HEWITT",
            "middle_name": "MICHELLE",
            "credential": "CNA CERTIFICATE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 21, 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.

Verify at the official NPI Registry.