Individual provider Active NPI

Anitra L Kemp-Major, MSN, FNP-C

  • Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1306248646
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
277-000807 Issued in IL
Practice address
1111 E 87TH St Ste 500
Chicago, IL 60619-7038
Phone
(773) 967-4840
Fax
(773) 933-0018
NPI assigned
Sep 18, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 041-335162 IL
Family Nurse Practitioner 363LF0000X 209011553 IL
Family Nurse Practitioner 363LF0000X 277-000807 IL
Nurse Practitioner 363L00000X 277-000807 IL Primary

Addresses

Primary practice location

1111 E 87TH St Ste 500
Chicago, IL 60619-7038

Mailing address

29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900

Other practice location 1

522 Torrence Ave
Calumet City, IL 60409-3216
Phone (708) 730-2200

Other identifiers 1

IdentifierTypeStateIssuer
209011553OtherILAPN LICENSE NUMBER

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address akempmajor205414@direct.myadvocateaurora.org
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150812006707 IL Practitioner - Nurse Practitioner 6204141856 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1111 E 87TH St
Suite 500
Chicago, IL 60619-7038
Phone (773) 967-4840

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
041-335162ILMDFamily Nurse Practitioner
209011553ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health & Hospitals Corp. CurrentSince Jan 14, 2023 Accepting new patients
Vpa PC CurrentSince Mar 1, 2018 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Vpa PC CurrentSince Mar 1, 2018 Accepting new patients
Community Care Health Network LLC Nurse Practitioner CurrentSince May 1, 2021 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

3 E Golf Rd
Arlington Hts, IL 60005
Phone (800) 323-0358

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

522 Torrence Ave
Calumet City, IL 60409
Phone (708) 868-5669

1111 E 87th St
Ste 500
Chicago, IL 60619
Phone (773) 967-2000

29373 Network Pl
Chicago, IL 60673

12340 S Harlem Ave
Palos Heights, IL 60463
Phone (708) 684-7000

100 Illinois St
Ste 200
St Charles, IL 60174
Phone (630) 513-5576

18210 La Grange Rd
Ste 209
Tinley Park, IL 60487
Phone (708) 473-7873

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1306248646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293",
            "telephone_number": "847-390-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E 87TH ST STE 500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606197038",
            "telephone_number": "773-967-4840",
            "fax_number": "773-933-0018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "522 Torrence Ave",
            "address_purpose": "LOCATION",
            "city": "Calumet City",
            "state": "IL",
            "postal_code": "604093216",
            "country_code": "US",
            "telephone_number": "708-730-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEMP-MAJOR",
        "first_name": "ANITRA",
        "middle_name": "L",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-18",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "041-335162",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209011553",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277-000807",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277-000807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN LICENSE NUMBER",
            "identifier": "209011553",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akempmajor205414@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "1111 E 87th St Ste 500",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606197038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1111 E 87th St Ste 500",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606197038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.