Active NPI
Arlynn H Manasse, MPH APN CPNP
- Pediatric Nurse Practitioner
- Chicago, IL
National Provider Identifier
1831216928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 209000394
- 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
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 |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 209000394 | IL | MD | Pediatric Nurse Practitioner |
Interoperability endpoints
- 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.