Individual provider Active NPI

Jamie MC Kinley

  • Health Educator
  • Chicago, IL
National Provider Identifier
1235524364
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Practice address
2157 N Damen Ave Ste 2C
Chicago, IL 60647-6916
Phone
(773) 278-4769
Fax
(773) 303-8426
NPI assigned
Apr 6, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X Primary

Addresses

Primary practice location

2157 N Damen Ave Ste 2C
Chicago, IL 60647-6916

Mailing address

2157 N Damen Ave Ste 2C
Chicago, IL 60647-6916
Phone (773) 828-0020

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kids on the Grow CurrentSince Jun 2, 2024 Accepting new patients
Let'S Grow, Inc. CurrentSince Jun 30, 2024 Accepting new patients
Naper Dental Sleep Center, LTD PastSince Jun 27, 2021 Accepting new patients

Locations

2157 N Damen Ave
Ste 2C
Chicago, IL 60647
Phone (773) 278-4769

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.

NPI Registry JSON

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1235524364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2157 N DAMEN AVE STE 2C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606476916",
            "telephone_number": "773-828-0020",
            "fax_number": "773-303-8426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2157 N DAMEN AVE STE 2C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606476916",
            "telephone_number": "773-278-4769",
            "fax_number": "773-303-8426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MC KINLEY",
        "first_name": "JAMIE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-06",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.