Active NPI
Katherine Laird, NP
- Acute Care Nurse Practitioner
- Du Quoin, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 209009247
- Practice address
- 20 N Washington St
Du Quoin, IL 62832-1429 - Phone
- (618) 542-2129
- Fax
- (618) 542-2903
- NPI assigned
- Dec 22, 2011
- Last updated
- Sep 29, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 2011037562 | MO | |
| Acute Care Nurse Practitioner | 363LA2100X | 209009247 | IL | Primary |
Addresses
Primary practice location
20 N Washington St
Du Quoin, IL 62832-1429
Mailing address
4550 Memorial Dr
Ste. 340
Belleville, IL 62226-5372
Phone (618) 257-6200
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Saint Louis University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
900 N Washington St
Du Quoin, IL 62832-1230
900 N Washington St
Du Quoin, IL 62832-1233
Phone (618) 542-2146
PO Box
Suite 192
Du Quoin, IL 62832-0192
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011037562 | MO | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marshall Browning Hospital Association | Past | Accepting new patients | |
| PC Associates LLC | Past | Accepting new patients | |
| PC Associates, LLC | Past | Accepting new patients |
Interoperability endpoints
- katherine.laird@mbhdq.medalliesdirect.net
- klaird@yourcarecommunity.org
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.
-
- Critical Access Hospital
- Du Quoin, IL
- NPI 1821099441
-
dba Marshall Browning Hospital Physicians Clinic
- Rural Health Clinic/Center
- Du Quoin, IL
- NPI 1164666988
-
- Internal Medicine Physician
- O'Fallon, IL
- NPI 1235452855
-
- Family Medicine Physician
- Dupo, IL
- NPI 1437462637
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Du Quoin, IL
- NPI 1821099441
-
dba Memorial Hospital of Carbondale
- General Acute Care Hospital
- Carbondale, IL
- NPI 1093801797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1154690980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4550 MEMORIAL DR",
"address_2": "STE. 340",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622265372",
"telephone_number": "618-257-6200",
"fax_number": "618-257-6679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 N WASHINGTON ST",
"city": "DU QUOIN",
"state": "IL",
"postal_code": "628321429",
"telephone_number": "618-542-2129",
"fax_number": "618-542-2903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAIRD",
"first_name": "KATHERINE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-22",
"last_updated": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MO",
"license": "2011037562",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "IL",
"license": "209009247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Du Quoin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.