Individual provider Active NPI

Kristi Lynn Hinegardner, DNP, MSN, RN

  • Registered Nurse
  • Springfield, IL
National Provider Identifier
1114673811
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
041325185 Issued in IL
Practice address
4101 W Iles Ave
Springfield, IL 62711-7051
Phone
(217) 993-7120
NPI assigned
Feb 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041325185 IL Primary

Addresses

Primary practice location

4101 W Iles Ave
Springfield, IL 62711-7051

Mailing address

4101 W Iles Ave
Springfield, IL 62711-7051
Phone (217) 993-7120

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
041325185ILMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1114673811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 W ILES AVE",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627117051",
            "telephone_number": "217-993-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 W ILES AVE",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627117051",
            "telephone_number": "217-993-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINEGARDNER",
        "first_name": "KRISTI",
        "middle_name": "LYNN",
        "credential": "DNP, MSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041325185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.