Individual provider Active NPI

Kenya Kawanee Hemingway, FNP

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1093083420
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277000919 Issued in IL
Practice address
1858 W 35TH St Ste B
Chicago, IL 60609-1201
Phone
(773) 940-2062
Fax
(773) 940-2061
NPI assigned
Dec 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X
Family Nurse Practitioner 363LF0000X 209009143 IL
Community Health/Public Health Clinical Nurse Specialist 364SC1501X 277000919 IL
Family Nurse Practitioner 363LF0000X 277000919 IL Primary
Registered Nurse 163W00000X 041349530 IL

Addresses

Primary practice location

1858 W 35TH St Ste B
Chicago, IL 60609-1201

Mailing address

1858 W 35TH St Ste B
Chicago, IL 60609-1201
Phone (773) 940-2062

Other practice location 1

2929 S Wabash Ave Ste 202
Chicago, IL 60616-3243
Phone (773) 824-6228

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL admin@medtaclinic.com Health Information Exchange (HIE) Alliance Care 360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041349530ILMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Nurse Now LLC Family CurrentSince May 1, 2020 Accepting new patients
Alliance Care 360 Family Current Accepting new patients
Vpa PC Past Accepting new patients

Locations

2929 S Wabash Ave
Ste 202
Chicago, IL 60616
Phone (312) 225-7706

1858 W 35th St
Ste B
Chicago, IL 60609
Phone (773) 940-2062

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1093083420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1858 W 35TH ST STE B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606091201",
            "telephone_number": "773-940-2062",
            "fax_number": "773-940-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1858 W 35TH ST STE B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606091201",
            "telephone_number": "773-940-2062",
            "fax_number": "773-940-2061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2929 S Wabash Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606163243",
            "country_code": "US",
            "telephone_number": "773-824-6228",
            "fax_number": "773-824-6228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEMINGWAY",
        "first_name": "KENYA",
        "middle_name": "KAWANEE",
        "name_prefix": "Dr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-13",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209009143",
            "primary": false
        },
        {
            "code": "364SC1501X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Community Health/Public Health",
            "state": "IL",
            "license": "277000919",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277000919",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041349530",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "admin@medtaclinic.com",
            "affiliation": "Y",
            "endpointDescription": "admin@medtaclinic.com",
            "affiliationName": "Alliance Care 360",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1858 W 35th St Ste B",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606091201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.