Individual provider Active NPI

Kenniesha S Hoskins, FNP-C

  • Family Nurse Practitioner
  • Danville, IL
National Provider Identifier
1093495012
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209026974 Issued in IL
Practice address
202 E Fairchild St
Danville, IL 61832-3114
Phone
(217) 920-0168
Fax
(217) 920-0202
NPI assigned
Jul 24, 2023
Last updated
Sep 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209026974 IL Primary

Addresses

Primary practice location

202 E Fairchild St
Danville, IL 61832-3114

Mailing address

202 E Fairchild St
Danville, IL 61832-3114
Phone (217) 920-0168

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kenniesha.hoskins.1@9559.direct.athenahealth.com Health Information Exchange (HIE)

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
I20231106002337 IL Practitioner - Nurse Practitioner 1759738206 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Illinois Healthcare Foundation, Inc. CurrentSince Aug 21, 2023 Accepting new patients
Southern Illinois Healthcare Foundation Inc Current Accepting new patients
Southern Illinois Healthcare Foundation Inc CurrentSince Aug 21, 2023 Accepting new patients
Southern Illinois Healthcare Foundation Inc CurrentSince Sep 24, 2023 Accepting new patients

Locations

202 E Fairchild St
Danville, IL 61832
Phone (217) 444-1599

6000 Bond Ave
East Saint Louis, IL 62207
Phone (618) 332-2740

2001 State St
East St Louis, IL 62205
Phone (618) 271-0204

302 N Mill St
Greenup, IL 62428
Phone (217) 923-3311

1275 Hawthorn Rd
Salem, IL 62881
Phone (618) 548-4545

2041 Goose Lake Rd
Sauget, IL 62206

Interoperability endpoints

  • Direct secure messaging: kenniesha.hoskins.1@9559.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1093495012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E FAIRCHILD ST",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618323114",
            "telephone_number": "217-920-0168",
            "fax_number": "217-920-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E FAIRCHILD ST",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618323114",
            "telephone_number": "217-920-0168",
            "fax_number": "217-920-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSKINS",
        "first_name": "KENNIESHA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209026974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kenniesha.hoskins.1@9559.direct.athenahealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "202 E Fairchild St",
            "city": "Danville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "618323114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Danville, IL

Sources for this page

Verify at the official NPI Registry.