Active NPI
Klaudia Dorota Niedzwiecki, NP-C
- Obstetrics & Gynecology Nurse Practitioner
- Yorkville, IL
National Provider Identifier
1306313754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 209.018321
- Practice address
- 654 W Veterans Pkwy Ste a
Yorkville, IL 60560-2510 - Phone
- (815) 786-1088
- Fax
- (815) 786-1314
- NPI assigned
- Oct 24, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 209.018321 | IL | Primary |
Addresses
Primary practice location
654 W Veterans Pkwy Ste a
Yorkville, IL 60560-2510
Mailing address
654 W Veterans Pkwy Ste a
Yorkville, IL 60560-2510
Phone (815) 786-1088
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.018321 | IL | MD | Obstetrics & Gynecology Nurse Practitioner |
Interoperability endpoints
- klaudia.niedzwiecki.1@13826.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540339200000",
"number": "1306313754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "654 W VETERANS PKWY STE A",
"city": "YORKVILLE",
"state": "IL",
"postal_code": "605602510",
"telephone_number": "815-786-1088",
"fax_number": "815-786-1314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "654 W VETERANS PKWY STE A",
"city": "YORKVILLE",
"state": "IL",
"postal_code": "605602510",
"telephone_number": "815-786-1088",
"fax_number": "815-786-1314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEDZWIECKI",
"first_name": "KLAUDIA",
"middle_name": "DOROTA",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-24",
"last_updated": "2018-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "IL",
"license": "209.018321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yorkville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.