Individual provider Active NPI

Amanda Marie Sabin, CNA

  • Nurse's Aide
  • Champaign, IL
National Provider Identifier
1801340096
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
Practice address
2431 W Bradley Ave
Apt L
Champaign, IL 61821-1840
Phone
(217) 766-6360
NPI assigned
Aug 5, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

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 Primary

Addresses

Primary practice location

2431 W Bradley Ave
Apt L
Champaign, IL 61821-1840

Mailing address

2431 W Bradley Ave
Apt L
Champaign, IL 61821-1840
Phone (217) 766-6360

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": "1470355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470355200000",
    "number": "1801340096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 W BRADLEY AVE",
            "address_2": "APT L",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618211840",
            "telephone_number": "217-766-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 W BRADLEY AVE",
            "address_2": "APT L",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618211840",
            "telephone_number": "217-766-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABIN",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-05",
        "last_updated": "2016-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; 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.