Kimberly Yormark, MS, AGACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

209010822 Issued in IL

Practice address

1801 W Taylor St
Chicago, IL 60612-4795

Phone

(866) 600-2273

NPI assigned

Dec 10, 2013

Last updated

Dec 10, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kimberly Vial Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386633600000",
    "number": "1043641509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E CHESTNUT ST",
            "address_2": "UNIT 44F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112051",
            "telephone_number": "262-751-7692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W TAYLOR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124795",
            "telephone_number": "866-600-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YORMARK",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "MS, AGACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-10",
        "last_updated": "2013-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IL",
            "license": "209010822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "VIAL",
            "credential": "MS, AGACNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica York
• Monica York, ED.D; ED.S.; LCSW
• Sloane Leslie York, MD
• Susannah F York, CCC-SLP
• Brendan Yorke, PT
• Natalie Yosef, DOT
• John Yoseph-Anhar, D.D.S.
• Grace Yoshiba, MD
• Janet T Yoshida-Gordon, OTR/L, CHT
• Tyler Kenneth Yoshida, MD

• Acute Care Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Acute Care Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.