Kim Niezgoda, WHNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

Practice address

9730 S Western Ave
Ste 100
Evergreen Park, IL 60805-2814

Phone

(708) 425-1907

Fax

(708) 422-9816

NPI assigned

Jan 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275688657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9730 S WESTERN AVE",
            "address_2": "STE 100",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052814",
            "telephone_number": "708-425-1907",
            "fax_number": "708-422-9816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 S WESTERN AVE",
            "address_2": "STE 100",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052814",
            "telephone_number": "708-425-1907",
            "fax_number": "708-422-9816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEZGODA",
        "first_name": "KIM",
        "name_prefix": "Ms.",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• National Medical Care Inc.
• National Medical Care, Inc.
• Patricia Newell
• Ellen Isabelle Nicol
• Karen Leanne Nicol, P.T.
• Chadi Nouneh, M.D
• Nova Medico SC
• Kristin E Novak
• Anne Marie Novotny, LPC
• Diane L O'Connor, RNFA

• Women's Health Nurse Practitioner in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Women's Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.