Individual provider Active NPI

Arlynn H Manasse, MPH APN CPNP

  • Pediatric Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1831216928
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
209000394 Issued in IL
Practice address
4909 W Division Street
3Rd Floor Circle Family Care Health Center
Chicago, IL 60651
Phone
(773) 921-8100
Fax
(773) 921-4428
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 209000394 IL Primary

Addresses

Primary practice location

4909 W Division Street
3Rd Floor Circle Family Care Health Center
Chicago, IL 60651

Mailing address

107 56TH Court
Downers Grove, IL 60516-1530
Phone (630) 960-2142

Other names 1

  • A Manasse Other name

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
Certified Pediatric Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209000394ILMDPediatric Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: arlynn.manasse.1@15508.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1831216928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 56TH COURT",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605161530",
            "telephone_number": "630-960-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 W DIVISION STREET",
            "address_2": "3RD FLOOR CIRCLE FAMILY CARE HEALTH CENTER",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60651",
            "telephone_number": "773-921-8100",
            "fax_number": "773-921-4428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANASSE",
        "first_name": "ARLYNN",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "MPH APN CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209000394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "A",
            "last_name": "MANASSE",
            "credential": "APN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 7, 2023; 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.