Individual provider Active NPI

Brianna C Neal, APRN

  • Family Nurse Practitioner
  • Kankakee, IL
National Provider Identifier
1164024808
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209022388 Issued in IL
Practice address
70 Meadowview Ctr Ste 300
Kankakee, IL 60901-2062
Phone
(815) 802-0022
Fax
(815) 802-0011
NPI assigned
Nov 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.022388 IL
Family Nurse Practitioner 363LF0000X 209022388 IL Primary

Addresses

Primary practice location

70 Meadowview Ctr Ste 300
Kankakee, IL 60901-2062

Mailing address

70 Meadowview Ctr Ste 300
Kankakee, IL 60901-2062
Phone (815) 802-0022

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
I20230709000024 IL Practitioner - Nurse Practitioner 8820457898 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Emergency Physicians LLCGroup PAC ID 6204294119, 35 clinicians

Practice addresses (Care Compare)

350 N Wall St
Kankakee, IL 60901-2901
Phone (815) 933-1671

Hospital & facility affiliations

  • Riverside Medical Center Hospital, Kankakee, IL, CCN 140186

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.022388ILMDNurse Practitioner
209022388ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Emergency Physicians, LLC CurrentSince May 1, 2025 Accepting new patients
First Care Family Clinic, S.C. CurrentSince Jun 26, 2023 Accepting new patients
Zaheer Pediatric Associates, SC Past Accepting new patients

Locations

5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468

662 N Convent St
Bourbonnais, IL 60914
Phone (815) 802-0088

70 Meadowview Ctr
Ste 200
Kankakee, IL 60901
Phone (815) 802-0000

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

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.

Hospital & facility affiliations 1

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": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1164024808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MEADOWVIEW CTR STE 300",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012062",
            "telephone_number": "815-802-0022",
            "fax_number": "815-802-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MEADOWVIEW CTR STE 300",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012062",
            "telephone_number": "815-802-0022",
            "fax_number": "815-802-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "BRIANNA",
        "middle_name": "C",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.022388",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209022388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kankakee, IL

Sources for this page

Verify at the official NPI Registry.