Individual provider Active NPI

Courtney O'Keefe, CPNP-PC

  • Pediatric Nurse Practitioner
  • Waterloo, IL
National Provider Identifier
1194432005
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
209026307 Issued in IL
Practice address
224 Bradford LN
Waterloo, IL 62298-3369
Phone
(618) 939-0112
Fax
(618) 939-0119
NPI assigned
Oct 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 209026307 IL Primary

Addresses

Primary practice location

224 Bradford LN
Waterloo, IL 62298-3369

Mailing address

224 Bradford LN
Waterloo, IL 62298-3369
Phone (618) 939-0112

Other names 1

  • Courtney McCarty Former name

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209026307ILMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heart to Heart Pediatrics LLC Pediatrics CurrentSince Nov 6, 2022 Accepting new patients

Locations

224 Bradford Ln
Waterloo, IL 62298
Phone (618) 939-0112

224 Bradford Ln
Ste A
Waterloo, IL 62298
Phone (618) 939-8190

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21224/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1194432005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 BRADFORD LN",
            "city": "WATERLOO",
            "state": "IL",
            "postal_code": "622983369",
            "telephone_number": "618-939-0112",
            "fax_number": "618-939-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 BRADFORD LN",
            "city": "WATERLOO",
            "state": "IL",
            "postal_code": "622983369",
            "telephone_number": "618-939-0112",
            "fax_number": "618-939-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'KEEFE",
        "first_name": "COURTNEY",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209026307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "MCCARTY",
            "credential": "CPNP-PC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waterloo, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.