Active NPI
Jasmine McDonald
- Registered Nurse
- Chicago, IL
National Provider Identifier
1851839922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 041.413578
- Practice address
- 1400 W 72ND St
Chicago, IL 60636-4002 - Phone
- (312) 632-3107
- NPI assigned
- Feb 8, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041.413578 | IL | Primary |
| Registered Nurse | 163W00000X | 28219841A | IN |
Addresses
Primary practice location
1400 W 72ND St
Chicago, IL 60636-4002
Mailing address
PO Box 804693
Chicago, IL 60680-4108
Phone (312) 632-3107
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.413578 | IL | MD | Registered Nurse |
| 28219841A | IN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486512000000",
"number": "1851839922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 804693",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606804108",
"telephone_number": "312-632-3107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 W 72ND ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606364002",
"telephone_number": "312-632-3107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "JASMINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-08",
"last_updated": "2017-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041.413578",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28219841A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Feb 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.