Sarah Jeanette Coyne, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.013756 Issued in IL

Practice address

1615 N Convent St Ste 1
Bourbonnais, IL 60914-1081

Phone

(815) 602-8253

NPI assigned

Jan 12, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sarah Jeanette Thornton Former name

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physicians Immediate Care North Chicago LLCGroup PAC ID 8729064159, 256 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ddc@directaddress.net

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.

• Physicians Immediate Care North Chicago LLC

  • Urgent Care Clinic/Center
  • Chicago, IL
  • NPI 1205814118
  Medicare reassignment Care Compare group NPD
• Riverside Health System

  • General Practice Physician
  • Kankakee, IL
  • NPI 1417061193
  Medicare reassignment NPD
• Riverside Health System

  • Psychiatry Physician
  • Kankakee, IL
  • NPI 1336354430
  NPD
• Gibson Community Hospital Association

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)
• Rush University Medical Group

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1093819542
  NPD (past)

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1073979654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 N CONVENT ST STE 1",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141081",
            "telephone_number": "815-937-5200",
            "fax_number": "815-937-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 N CONVENT ST STE 1",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141081",
            "telephone_number": "815-602-8253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "338 Larry Power Rd",
            "address_purpose": "LOCATION",
            "city": "Bourbonnais",
            "state": "IL",
            "postal_code": "609144430",
            "country_code": "US",
            "telephone_number": "815-935-4651",
            "fax_number": "815-935-2970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3761 N State Route 1 17",
            "address_purpose": "LOCATION",
            "city": "Momence",
            "state": "IL",
            "postal_code": "609542400",
            "country_code": "US",
            "telephone_number": "815-472-3923",
            "fax_number": "815-472-2816",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1490 E Walnut St Ste A",
            "address_purpose": "LOCATION",
            "city": "Watseka",
            "state": "IL",
            "postal_code": "609701806",
            "country_code": "US",
            "telephone_number": "815-432-7693",
            "fax_number": "815-936-7228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "395 N Locust St",
            "address_purpose": "LOCATION",
            "city": "Manteno",
            "state": "IL",
            "postal_code": "609501222",
            "country_code": "US",
            "telephone_number": "815-468-6870",
            "fax_number": "815-468-8304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23120 S LaGrange Rd",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "IL",
            "postal_code": "604237760",
            "country_code": "US",
            "telephone_number": "815-464-5440",
            "fax_number": "815-936-5404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1890 Silver Cross Blvd Ste 225",
            "address_purpose": "LOCATION",
            "city": "New Lenox",
            "state": "IL",
            "postal_code": "604519623",
            "country_code": "US",
            "telephone_number": "815-937-5200",
            "fax_number": "815-937-2063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 N Wall St Ste B405",
            "address_purpose": "LOCATION",
            "city": "Kankakee",
            "state": "IL",
            "postal_code": "609012940",
            "country_code": "US",
            "telephone_number": "815-935-4651",
            "fax_number": "815-935-2970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COYNE",
        "first_name": "SARAH",
        "middle_name": "JEANETTE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-12",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.013756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DDC@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "DDC@directaddress.net",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Bourbonnais",
            "address_1": "1615 N Convent St Ste 1",
            "city": "Bourbonnais",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609141081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "THORNTON",
            "middle_name": "JEANETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Family Nurse Practitioner in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.

Verify at the official NPI Registry.