Organization Active NPI

Lafayettemed Community Health Co

  • Primary Care Clinic/Center
  • Bourbonnais, IL
National Provider Identifier
1083527303
Registry record updated Sep 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
LAFAYETTEMED COMMUNITY HEALTH CO
Practice address
1563 Sun Ridge Dr
Bourbonnais, IL 60914-9644
Phone
(815) 908-9685
NPI assigned
Sep 26, 2026
Last updated
Sep 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2026

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

Authorized official

Name
K-Shayla Lafayette, NP
Title
Nurse Practitioner/Ceo
Phone
(815) 908-9685

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1563 Sun Ridge Dr
Bourbonnais, IL 60914-9644

Mailing address

1563 Sun Ridge Dr
Bourbonnais, IL 60914-9644
Phone (815) 908-9685

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1790380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790380800000",
    "number": "1083527303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1563 SUN RIDGE DR",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609149644",
            "telephone_number": "815-908-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1563 SUN RIDGE DR",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609149644",
            "telephone_number": "815-908-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTEMED COMMUNITY HEALTH CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-26",
        "last_updated": "2026-09-26",
        "certification_date": "2026-09-26",
        "status": "A",
        "authorized_official_last_name": "LAFAYETTE",
        "authorized_official_first_name": "K-SHAYLA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/CEO",
        "authorized_official_telephone_number": "815-908-9685",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bourbonnais, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2026; 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.