Vivian Medrano

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

057006126 Issued in IL

Practice address

707 Lake Cook Rd Ste 312
Deerfield, IL 60015-4933

Phone

(877) 486-4140

NPI assigned

Nov 22, 2024

Last updated

Nov 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1801611991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3443 S LEAVITT ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606086020",
            "telephone_number": "815-764-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 LAKE COOK RD STE 312",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154933",
            "telephone_number": "877-486-4140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 Lee St",
            "address_purpose": "LOCATION",
            "city": "Des Plaines",
            "state": "IL",
            "postal_code": "600166532",
            "country_code": "US",
            "telephone_number": "877-486-4140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDRANO",
        "first_name": "VIVIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-22",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057006126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay McDonnell, LCPC, CADC
• Mary McGilvray
• Taylor McMillian
• Med Home Alert
• Kassandra Medina
• Medreat
• Erin Meeker, PHARM.D.
• Julia A Melamed, M.D.
• Kalyna Melnyk, LCPC
• Arianna Mendoza

• Occupational Therapy Assistant in Deerfield, IL
• Providers in Deerfield, IL by specialty
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.