Active NPI
Cynthia Johnson
- Non-emergency Medical Transport (VAN)
- Chicago, IL
National Provider Identifier
1982844973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- J52510455820
- Practice address
- 10625 S Michigan Ave
Chicago, IL 60628-2707 - Phone
- (773) 928-1109
- Fax
- (773) 928-2099
- NPI assigned
- Mar 3, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | J52510455820 | IL | Primary |
Addresses
Primary practice location
10625 S Michigan Ave
Chicago, IL 60628-2707
Mailing address
10625 S Michigan Ave
Chicago, IL 60628-2707
Phone (773) 928-1109
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 |
|---|---|---|---|
| J52510455820 | IL | MD | Non-emergency Medical Transport (VAN) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cynthias Ceramic Paint a Gift Hobby Studio | Day Training, Developmentally Disabled Services | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Developmentally Disabled Services Day Training Agency
- Chicago, IL
- NPI 1356639082
Day Training, Developmentally Disabled Services
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236643200000",
"number": "1982844973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10625 S MICHIGAN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606282707",
"telephone_number": "773-928-1109",
"fax_number": "773-928-2099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10625 S MICHIGAN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606282707",
"telephone_number": "773-928-1109",
"fax_number": "773-928-2099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "CYNTHIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-03",
"last_updated": "2009-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "IL",
"license": "J52510455820",
"primary": true
}
],
"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 Mar 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.