Individual provider Active NPI

Leann McMonigal, STUDENT CNS

  • Enterostomal Therapy Registered Nurse
  • Crystal Lake, IL
National Provider Identifier
1922614429
Registry record updated Sep 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Enterostomal Therapy Registered NurseTaxonomy code 163WE0900X
License
041377673 Issued in IL
Practice address
716 Concord Dr
Crystal Lake, IL 60014-1820
Phone
(815) 404-0919
NPI assigned
Sep 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Enterostomal Therapy Registered Nurse 163WE0900X 041377673 IL Primary

Addresses

Primary practice location

716 Concord Dr
Crystal Lake, IL 60014-1820

Mailing address

716 Concord Dr
Crystal Lake, IL 60014-1820

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 Nurse Specialist

State licenses

LicenseStateTypeSpecialty
041377673ILMDEnterostomal Therapy Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1600560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600560000000",
    "number": "1922614429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 CONCORD DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600141820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 CONCORD DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600141820",
            "telephone_number": "815-404-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMONIGAL",
        "first_name": "LEANN",
        "name_prefix": "Mrs.",
        "credential": "STUDENT CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-20",
        "last_updated": "2020-09-20",
        "certification_date": "2020-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0900X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Enterostomal Therapy",
            "state": "IL",
            "license": "041377673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2020; 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.