Active NPI
Amy Flanagan, RN
- Registered Nurse
- Chicago, IL
National Provider Identifier
1790106474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 041344664
- Practice address
- 125 S Wacker Dr
Suite 2155
Chicago, IL 60606-4424 - Phone
- (312) 627-1300
- NPI assigned
- Dec 23, 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041344664 | IL | Primary |
Addresses
Primary practice location
125 S Wacker Dr
Suite 2155
Chicago, IL 60606-4424
Mailing address
125 South Wacker
Suite 2155
Chicago, IL 60606
Phone (312) 627-1300
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041344664 | IL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifestart National Fitness | Registered Nurse | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387756800000",
"number": "1790106474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 SOUTH WACKER",
"address_2": "SUITE 2155",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60606",
"telephone_number": "312-627-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 S WACKER DR",
"address_2": "SUITE 2155",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606064424",
"telephone_number": "312-627-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLANAGAN",
"first_name": "AMY",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-23",
"last_updated": "2013-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041344664",
"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 Dec 23, 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.