Active NPI
Kaitlyn Norman, RN, BSN
- Registered Nurse
- Shiloh, IL
National Provider Identifier
1265348635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 041.490523
- Practice address
- 1170 Fortune Blvd
Shiloh, IL 62269-7358 - Phone
- (618) 997-5266
- NPI assigned
- Aug 24, 2026
- 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 | 041.490523 | IL | Primary |
Addresses
Primary practice location
1170 Fortune Blvd
Shiloh, IL 62269-7358
Mailing address
7 Julia Dr
Breese, IL 62230-2084
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1265348635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 JULIA DR",
"city": "BREESE",
"state": "IL",
"postal_code": "622302084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1170 FORTUNE BLVD",
"city": "SHILOH",
"state": "IL",
"postal_code": "622697358",
"telephone_number": "618-997-5266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORMAN",
"first_name": "KAITLYN",
"credential": "RN, BSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-24",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041.490523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shiloh, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.