Individual provider Active NPI

Allison Lee Scudieri

  • Student in an Organized Health Care Education/Training Program
  • Gardner, IL
National Provider Identifier
1992320527
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
301 W Lincoln Ave
Gardner, IL 60424-7020
Phone
(815) 351-5825
NPI assigned
Jun 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

301 W Lincoln Ave
Gardner, IL 60424-7020

Mailing address

301 W Lincoln Ave
Gardner, IL 60424-7020
Phone (815) 351-5825

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alscudieri@eiu.edu

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

NPI Registry JSON

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1992320527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W LINCOLN AVE",
            "city": "GARDNER",
            "state": "IL",
            "postal_code": "604247020",
            "telephone_number": "815-351-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W LINCOLN AVE",
            "city": "GARDNER",
            "state": "IL",
            "postal_code": "604247020",
            "telephone_number": "815-351-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCUDIERI",
        "first_name": "ALLISON",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alscudieri@eiu.edu",
            "affiliation": "N",
            "address_1": "301 W Lincoln Ave",
            "city": "Gardner",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604247020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gardner, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.