Organization Active NPI

Bayview Family Clinic

  • Primary Care Nurse Practitioner
  • Savoy, IL
National Provider Identifier
1255788501
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
209014228 Issued in IL
Legal business name
BAYVIEW FAMILY CLINIC
Practice address
206 Burwash Ave
Savoy, IL 61874-9510
Phone
(217) 356-3400
Fax
(217) 866-0122
NPI assigned
May 17, 2016
Last updated
Jan 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Authorized official

Name
Kimberly A Ratts
Title
Clinic Director
Phone
(217) 356-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 209014228 IL Primary

Addresses

Primary practice location

206 Burwash Ave
Savoy, IL 61874-9510

Mailing address

206 Burwash Ave
Savoy, IL 61874-9510
Phone (217) 356-3400

National Provider Directory

National Provider Directory
Tax ID family
Bayview Wellness Clinic5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1255788501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 BURWASH AVE",
            "city": "SAVOY",
            "state": "IL",
            "postal_code": "618749510",
            "telephone_number": "217-356-3400",
            "fax_number": "217-866-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 BURWASH AVE",
            "city": "SAVOY",
            "state": "IL",
            "postal_code": "618749510",
            "telephone_number": "217-356-3400",
            "fax_number": "217-866-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYVIEW FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-17",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "RATTS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "217-356-3400"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "209014228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savoy, IL

Sources for this page

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