Active NPI
Mary Ann Kabat
- Registered Nurse
- Burr Ridge, IL
National Provider Identifier
1255964482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 041.220047
- Practice address
- 47 Thornhill CT
Burr Ridge, IL 60527-6446 - Phone
- (847) 809-8394
- NPI assigned
- Feb 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041.220047 | IL | Primary |
Addresses
Primary practice location
47 Thornhill CT
Burr Ridge, IL 60527-6446
Mailing address
47 Thornhill CT
Burr Ridge, IL 60527-6446
Phone (847) 809-8394
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041.220047 | Other | IL | GENERAL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.220047 | IL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581897600000",
"number": "1255964482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 THORNHILL CT",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605276446",
"telephone_number": "847-809-8394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 THORNHILL CT",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605276446",
"telephone_number": "847-809-8394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KABAT",
"first_name": "MARY ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-17",
"last_updated": "2020-02-17",
"certification_date": "2020-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041.220047",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GENERAL",
"identifier": "041.220047",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burr Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.