Active NPI
Ruth Ann Little, LPN
- Licensed Practical Nurse
- Great Lakes, IL
National Provider Identifier
1861653636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 043083576
- Practice address
- 2548 N Admiral Dr
Great Lakes, IL 60088-2302 - Phone
- (773) 556-9450
- NPI assigned
- Jun 24, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 043083576 | IL | Primary |
| Licensed Practical Nurse | 164W00000X | 309885031 | WI |
Addresses
Primary practice location
2548 N Admiral Dr
Great Lakes, IL 60088-2302
Mailing address
2548 N Admiral Dr
Great Lakes, IL 60088-2302
Phone (773) 556-9450
Other names 1
- Ruth Ann Heuer
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 |
|---|---|---|---|
| 043083576 | IL | MD | Licensed Practical Nurse |
| 309885031 | WI | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214352000000",
"number": "1861653636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2548 N ADMIRAL DR",
"city": "GREAT LAKES",
"state": "IL",
"postal_code": "600882302",
"telephone_number": "773-556-9450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2548 N ADMIRAL DR",
"city": "GREAT LAKES",
"state": "IL",
"postal_code": "600882302",
"telephone_number": "773-556-9450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITTLE",
"first_name": "RUTH",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-24",
"last_updated": "2008-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "IL",
"license": "043083576",
"primary": true
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "WI",
"license": "309885031",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RUTH",
"last_name": "HEUER",
"middle_name": "ANN",
"credential": "LPN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Great Lakes, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.