Individual provider Active NPI

Catherine Kiley, FNP

  • Family Nurse Practitioner
  • Romeoville, IL
National Provider Identifier
1023512274
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.017379 Issued in IL
Practice address
500 S Weber Rd
Romeoville, IL 60446-6528
Phone
(630) 856-8620
NPI assigned
Mar 22, 2018
Last updated
Mar 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.017379 IL Primary

Addresses

Primary practice location

500 S Weber Rd
Romeoville, IL 60446-6528

Mailing address

500 S Weber Rd
Romeoville, IL 60446-6528
Phone (630) 856-8620

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address catherine.kiley.1@380.direct.athenahealth.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180606001512 IL Practitioner - Nurse Practitioner 1153686530 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitae Health Medical Illinois, PLLCGroup PAC ID 2365798410, 214 clinicians

Practice addresses (Care Compare)

10124 S Kedzie Ave
Evergreen Park, IL 60805-3738
Phone (888) 423-8154

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.017379ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical Illinois, PLLC CurrentSince Jul 1, 2024 Accepting new patients
Transitions Home Medical Group PLLC CurrentSince Jul 19, 2021 Accepting new patients

Locations

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

2312 Touhy Ave
Elk Grove Vlg, IL 60007
Phone (816) 637-2200

10124 S Kedzie Ave
Evergreen Pk, IL 60805
Phone (708) 636-9200

3450 Oakton St
Ste 300
Skokie, IL 60076

Interoperability endpoints

  • Direct secure messaging: catherine.kiley.p1@direct.thmg.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1023512274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S WEBER RD",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604466528",
            "telephone_number": "630-856-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S WEBER RD",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604466528",
            "telephone_number": "630-856-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILEY",
        "first_name": "CATHERINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-22",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.017379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "catherine.kiley.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "500 S Weber Rd",
            "city": "Romeoville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604466528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Romeoville, IL

Sources for this page

Verify at the official NPI Registry.