Active NPI
Mary A Cavender, DN
- Naprapath
- Chicago, IL
National Provider Identifier
1801295753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naprapath
- License
- 181000386
- Practice address
- 400 E Randolph St
#1610
Chicago, IL 60601-7329 - Phone
- (312) 860-1999
- NPI assigned
- Aug 16, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naprapath | 172P00000X | 181000386 | IL | Primary |
| Naprapath | 172P00000X | 01006 | NM | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 181000386 | IL | |
| Specialist | 174400000X | 181000386 | IL | |
| Nutritionist | 133N00000X | 181000386 | IL |
Addresses
Primary practice location
400 E Randolph St
#1610
Chicago, IL 60601-7329
Mailing address
17 N Wabash Ave
Suite 450
Chicago, IL 60602-4704
Phone (312) 285-2121
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 181000386 | IL | MD | Naprapath |
| 01006 | NM | MD | Naprapath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Naprapathy, Integrative Health & Wellness Inc | Nutritionist | 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": "1408147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436486400000",
"number": "1801295753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 N WABASH AVE",
"address_2": "SUITE 450",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606024704",
"telephone_number": "312-285-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E RANDOLPH ST",
"address_2": "#1610",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606017329",
"telephone_number": "312-860-1999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVENDER",
"first_name": "MARY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-16",
"last_updated": "2015-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "172P00000X",
"taxonomy_group": "",
"desc": "Naprapath",
"state": "IL",
"license": "181000386",
"primary": true
},
{
"code": "172P00000X",
"taxonomy_group": "",
"desc": "Naprapath",
"state": "NM",
"license": "01006",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IL",
"license": "181000386",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "181000386",
"primary": false
},
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "IL",
"license": "181000386",
"primary": false
}
],
"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 10, 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.