Active NPI
Kiarie Priya Healthcare PLLC
- Primary Care Nurse Practitioner
- Champaign, IL
National Provider Identifier
1275136558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- KIARIE PRIYA HEALTHCARE PLLC
- Practice address
- 902 N Country Fair Dr Unit 3
Champaign, IL 61821-2300 - Phone
- (765) 560-3864
- NPI assigned
- Nov 18, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kate Priya Srikant
- Title
- Provider/Owner
- Phone
- (217) 979-2284
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
902 N Country Fair Dr Unit 3
Champaign, IL 61821-2300
Mailing address
2202 Combes St
Urbana, IL 61801-6812
Phone (217) 979-2284
Other names 1
- KP Healthcare
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
902 N Country Fair Dr
Unit 3
Champaign, IL 61821
Phone (765) 560-3864
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Champaign, IL
- NPI 1376153825
-
- Family Nurse Practitioner
- Saint Elmo, IL
- NPI 1962056853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1605657600000",
"number": "1275136558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 COMBES ST",
"city": "URBANA",
"state": "IL",
"postal_code": "618016812",
"telephone_number": "217-979-2284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 N COUNTRY FAIR DR UNIT 3",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618212300",
"telephone_number": "765-560-3864"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIARIE PRIYA HEALTHCARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-18",
"last_updated": "2020-11-18",
"certification_date": "2020-11-18",
"status": "A",
"authorized_official_last_name": "SRIKANT",
"authorized_official_first_name": "KATE",
"authorized_official_middle_name": "PRIYA",
"authorized_official_title_or_position": "PROVIDER/OWNER",
"authorized_official_telephone_number": "217-979-2284"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "KP Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.