Active NPI
Kristin McCaffrey
- Medical Art Specialist/Technologist
- Oak Park, IL
National Provider Identifier
1023665973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Art Specialist/Technologist
- License
- 201802874
- Practice address
- 327 South Blvd
Oak Park, IL 60302-2921 - Phone
- (773) 407-1043
- NPI assigned
- Aug 23, 2019
- Last updated
- Aug 23, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Art Specialist/Technologist | 246ZA2600X | 201802874 | IL | Primary |
Addresses
Primary practice location
327 South Blvd
Oak Park, IL 60302-2921
Mailing address
327 South Blvd
Oak Park, IL 60302-2921
Phone (773) 407-1043
Other practice location 1
2497 N Milwaukee Ave
Chicago, IL 60647-2661
Phone (773) 661-9258
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 |
|---|---|---|---|
| 201802874 | IL | MD | Medical Art Specialist/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moxie Allure Co. | Art, Medical | Current | Accepting new patients |
Locations
327 South Blvd
Oak Park, IL 60302
Phone (703) 951-3147
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, 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": "1566518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566518400000",
"number": "1023665973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "327 SOUTH BLVD",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603022921",
"telephone_number": "773-407-1043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 SOUTH BLVD",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603022921",
"telephone_number": "773-407-1043"
}
],
"practiceLocations": [
{
"address_1": "2497 N Milwaukee Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606472661",
"country_code": "US",
"telephone_number": "773-661-9258",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCAFFREY",
"first_name": "KRISTIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-23",
"last_updated": "2019-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "246ZA2600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Art, Medical",
"state": "IL",
"license": "201802874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.