Active NPI
Suzanne Reid Carrarini, OTR
- Health Educator
- Mokena, IL
National Provider Identifier
1770920670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- 056004730
- Practice address
- 10927 3Rd St
Mokena, IL 60448-1103 - Phone
- (773) 936-9525
- Fax
- (708) 995-5242
- NPI assigned
- May 31, 2013
- 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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | 056004730 | IL | Primary |
Addresses
Primary practice location
10927 3Rd St
Mokena, IL 60448-1103
Mailing address
10927 3Rd St
Mokena, IL 60448-1103
Phone (773) 936-9525
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369958400000",
"number": "1770920670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10927 3RD ST",
"city": "MOKENA",
"state": "IL",
"postal_code": "604481103",
"telephone_number": "773-936-9525",
"fax_number": "708-995-5242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10927 3RD ST",
"city": "MOKENA",
"state": "IL",
"postal_code": "604481103",
"telephone_number": "773-936-9525",
"fax_number": "708-995-5242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRARINI",
"first_name": "SUZANNE",
"middle_name": "REID",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-31",
"last_updated": "2013-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "IL",
"license": "056004730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mokena, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.