Individual provider Active NPI

Gladys Loggin, RT

  • Certified Respiratory Therapist
  • Flossmoor, IL
National Provider Identifier
1922291954
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Respiratory TherapistTaxonomy code 227800000X
Practice address
3914 Ballantrae Way
Flossmoor, IL 60422-4378
Phone
(708) 473-6883
Fax
(708) 991-7171
NPI assigned
Aug 22, 2007
Last updated
Aug 22, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Respiratory Therapist 227800000X IL Primary

Addresses

Primary practice location

3914 Ballantrae Way
Flossmoor, IL 60422-4378

Mailing address

3914 Ballantrae Way
Flossmoor, IL 60422-4378
Phone (708) 473-6883

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

LicenseStateTypeSpecialty
194.004996ILMDCertified Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187740800000",
    "number": "1922291954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3914 BALLANTRAE WAY",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604224378",
            "telephone_number": "708-473-6883",
            "fax_number": "708-991-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3914 BALLANTRAE WAY",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604224378",
            "telephone_number": "708-473-6883",
            "fax_number": "708-991-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGGIN",
        "first_name": "GLADYS",
        "name_prefix": "Mrs.",
        "credential": "RT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flossmoor, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.