Individual provider Active NPI

Kathryn Tite

  • Primary Care Nurse Practitioner
  • Danville, IL
National Provider Identifier
1093423832
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
209027101 Issued in IL
Practice address
108 Robinson St
Danville, IL 61832-8515
Phone
(217) 442-8611
NPI assigned
Nov 10, 2022
Last updated
May 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 209027101 IL Primary

Addresses

Primary practice location

108 Robinson St
Danville, IL 61832-8515

Mailing address

101 W University Ave
Champaign, IL 61820-3981
Phone (217) 442-8611

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230502001511 IL Practitioner - Nurse Practitioner 2365807021 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christie Clinic, PLLCGroup PAC ID 7719899319, 219 clinicians

Practice addresses (Care Compare)

101 W University Ave
Champaign, IL 61820-3909
Phone (217) 366-1200

108 Robinson St
Danville, IL 61832-8515
Phone (217) 442-8611

109 W University Ave
Champaign, IL 61820-3909
Phone (217) 366-5180

1120 N Melvin St
Gibson City, IL 60936-1477
Phone (217) 784-4251

1710 E Windsor Rd
Urbana, IL 61802-9564
Phone (217) 344-9440

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209027101ILMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical Illinois, PLLC CurrentSince Aug 1, 2023 Accepting new patients
Eaves Health Partners PLLC CurrentSince Apr 14, 2023 Accepting new patients
Christie Clinic, PLLC CurrentSince May 1, 2023 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

101 W University Ave
Champaign, IL 61820
Phone (217) 366-1255

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

108 Robinson St
Danville, IL 61832
Phone (217) 442-8611

801 N Logan Ave
Danville, IL 61832
Phone (217) 443-3106

1120 N Melvin St
Gibson City, IL 60936
Phone (217) 355-1684

3450 Oakton St
Ste 300
Skokie, IL 60076

5151 Church St
Skokie, IL 60077
Phone (773) 436-6600

Interoperability endpoints

  • Direct secure messaging: ktite371819@carlehiedirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1093423832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W UNIVERSITY AVE",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203981",
            "telephone_number": "217-442-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 ROBINSON ST",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618328515",
            "telephone_number": "217-442-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TITE",
        "first_name": "KATHRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-10",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "209027101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, IL

Sources for this page

Verify at the official NPI Registry.