Organization Active NPI

Kiarie Priya Healthcare PLLC

  • Primary Care Nurse Practitioner
  • Champaign, IL
National Provider Identifier
1275136558
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
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

Updated by the provider on Nov 18, 2020

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)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201218001447 IL Part B Supplier - Clinic/Group Practice 5991117731 Receives reassigned benefits from 2 practitioners
Practice locations: Champaign, IL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.