Active NPI
Allison Fumiye Kightly, PA-C
- Physician Assistant
- Winfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085.008540
- Practice address
- 25 N Winfield Rd Ste 201
Winfield, IL 60190-1379 - Phone
- (630) 933-4480
- Fax
- (630) 933-6009
- NPI assigned
- May 21, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601011475 | MI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | 085.008540 | IL | Primary |
Addresses
Primary practice location
25 N Winfield Rd Ste 201
Winfield, IL 60190-1379
Mailing address
25 N Winfield Rd Ste 201
Winfield, IL 60190-1379
Phone (630) 933-4480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Southern Illinois University School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
233 S Gary Ave
Bloomingdale, IL 60108-2213
Phone (630) 358-4414
235 S Gary Ave
Suite 100
Bloomingdale, IL 60108-2213
Phone (630) 893-9600
2635 Church Rd
Suite 101
Aurora, IL 60502-8943
Phone (630) 315-6900
2900 Foxfield Rd
Suite 100
St Charles, IL 60174-5799
Phone (630) 377-6500
660 N Westmoreland Rd
302 Lake Forest OBGYN
Lake Forest, IL 60045-1673
Phone (312) 926-6146
7 Blanchard Cir
Wheaton, IL 60189-2038
820 Route 59
Barlett, IL 60103-1694
Phone (630) 213-9600
820 S Il Route 59
Suite 320
Bartlett, IL 60103-1694
Phone (630) 225-2663
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085.008540 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Adventist Health Partners,Inc | Past | Accepting new patients | |
| Central Dupage Physician Group | Past | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
25 N Winfield Rd
Ste 201
Winfield, IL 60190
Phone (630) 933-4480
25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1205814118
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
- Family Medicine Physician
- Bloomingdale, IL
- NPI 1043255888
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
- General Acute Care Hospital
- Geneva, IL
- NPI 1407859655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1003439217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 N WINFIELD RD STE 201",
"city": "WINFIELD",
"state": "IL",
"postal_code": "601901379",
"telephone_number": "630-933-4480",
"fax_number": "630-933-6009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 N WINFIELD RD STE 201",
"city": "WINFIELD",
"state": "IL",
"postal_code": "601901379",
"telephone_number": "630-933-4480",
"fax_number": "630-933-6009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIGHTLY",
"first_name": "ALLISON",
"middle_name": "FUMIYE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-21",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601011475",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085.008540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.