Verneisha Anderson

Individual provider Active NPI Case Manager/Care Coordinator · Orland Park, IL

NPI 1992384101 · NPPES record last updated Apr 5, 2021

Key facts

NPI
1992384101
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
15255 S 94TH Ave Ste 500
Orland Park, IL 60462-3895
Phone
(470) 584-9003
NPI assigned
Apr 5, 2021
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
A Better Way Advocate Behavioral Center Current Accepting new patients

Locations

15255 S 94th Ave
Ste 500
Orland Park, IL 60462
Phone (708) 403-4055

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

15255 S 94TH Ave Ste 500
Orland Park, IL 60462-3895

Mailing address

35 Fir St Apt a
Park Forest, IL 60466-1706

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 5, 2021.

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1992384101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 FIR ST APT A",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604661706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15255 S 94TH AVE STE 500",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623895",
            "telephone_number": "470-584-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "VERNEISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

All providers in Orland Park, IL · Case Manager/Care Coordinator in Illinois

Sources for this page

Verify at the official NPI Registry.