Active NPI
Kristina Zandi
- Social Worker
- Matteson, IL
National Provider Identifier
1801401658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 4801 Southwick Dr Ste 300
Matteson, IL 60443-2279 - Phone
- (217) 508-2132
- NPI assigned
- Sep 9, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
4801 Southwick Dr Ste 300
Matteson, IL 60443-2279
Mailing address
18332 Martin Ave
Homewood, IL 60430-3252
Phone (217) 508-2132
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Laptop | Direct |
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": "1599609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599609600000",
"number": "1801401658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18332 MARTIN AVE",
"city": "HOMEWOOD",
"state": "IL",
"postal_code": "604303252",
"telephone_number": "217-508-2132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 SOUTHWICK DR STE 300",
"city": "MATTESON",
"state": "IL",
"postal_code": "604432279",
"telephone_number": "217-508-2132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZANDI",
"first_name": "KRISTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-09",
"last_updated": "2020-09-09",
"certification_date": "2020-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Laptop",
"affiliation": "N",
"endpointDescription": "Laptop",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4801 Southwick Dr Ste 300",
"city": "Matteson",
"state": "IL",
"country_code": "US",
"postal_code": "604432279",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Matteson, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.