Geordoni Yvette McKoy, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209019123 Issued in IL

Practice address

6609 S Fairfield Ave
Chicago, IL 60629-1709

Phone

(773) 507-6550

NPI assigned

Apr 23, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Express Care 2, Inc 221 clinicians

Friend Family Health Center Inc 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Midwest Express Care 2, Inc

  • Urgent Care Clinic/Center
  • Willowbrook, IL
  • NPI 1548692890

  IL

  Medicare reassignment Care Compare group NPD
• Friend Family Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1578560090

  IL

  Medicare reassignment Care Compare group
• Midwest Express Care 2, Inc

  • Urgent Care Clinic/Center
  • Chicago, IL
  • NPI 1659952554
  Care Compare group NPD
• Friend Family Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1457525792
  Care Compare group
• Friend Family Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1891921623
  Care Compare group
• Friend Family Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1457330870
  Care Compare group
• Friend Family Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1861667404
  Care Compare group
• Midwest Express Care 2 Inc

  • Urgent Care Clinic/Center
  • Chicago, IL
  • NPI 1114887270
  Care Compare group
• Midwest Express Care 2 Inc

  • Urgent Care Clinic/Center
  • Lombard, IL
  • NPI 1225853450
  Care Compare group
• Midwest Express Care 2 Inc

  • Urgent Care Clinic/Center
  • Carol Stream, IL
  • NPI 1316762545
  Care Compare group
• Midwest Express Care 2, Inc

  • Urgent Care Clinic/Center
  • Tinley Park, IL
  • NPI 1023725421
  Care Compare group
• Midwest Express Care 2, Inc

  • Internal Medicine Physician
  • Blue Island, IL
  • NPI 1063954220
  Care Compare group

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1164042701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6609 S FAIRFIELD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606291709",
            "telephone_number": "773-507-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6609 S FAIRFIELD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606291709",
            "telephone_number": "773-507-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKOY",
        "first_name": "GEORDONI",
        "middle_name": "YVETTE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-23",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209019123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuella McKnight
• Sydney McKnight, OD
• Tacoma McKnight, MD
• Hanna McKown, DO
• Cedric Juan McKoy, APN
• June M. McKoy, MD
• Erinn McKune, MSW
• Kerry A McLachlan, LCPC
• Maureen McLachlan, APRN
• Amelia Grace McLain, CF-SLP

• All providers in Chicago, IL
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; 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.

Verify at the official NPI Registry.