Katherine J Engelke, APN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209-013495 Issued in IL

Practice address

10 Saint Clare CT
Washington, IL 61571-9239

Phone

(309) 886-4000

Fax

(309) 886-4118

NPI assigned

Oct 29, 2015

Last updated

Oct 29, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Katherine J Holland Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446076800000",
    "number": "1194197186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SAINT CLARE CT",
            "city": "WASHINGTON",
            "state": "IL",
            "postal_code": "615719239",
            "telephone_number": "309-886-4000",
            "fax_number": "309-886-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SAINT CLARE CT",
            "city": "WASHINGTON",
            "state": "IL",
            "postal_code": "615719239",
            "telephone_number": "309-886-4000",
            "fax_number": "309-886-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELKE",
        "first_name": "KATHERINE",
        "middle_name": "J",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-29",
        "last_updated": "2015-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209-013495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "HOLLAND",
            "middle_name": "J",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberly Ann Earle
• Caitlin Mary Eigsti, FNP
• Jacquelin Diane Ejka, LCSW
• Joelle Renee Elmore
• Leah Embree, MD
• David J England, PHARMACIST
• Courtney E Erickson, O.T.
• Brandi Eslinger
• J Bradley Essig, DDS
• Eyecare Focus PC

• Nurse Practitioner in Washington, IL
• Providers in Washington, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.