Katherine Kinsella, R.N, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

309-000755 Issued in IL

Practice address

1051 W South St
Kewanee, IL 61443-8354

Phone

(309) 852-7700

Fax

(309) 852-7764

NPI assigned

Jul 12, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212105600000",
    "number": "1306861463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 747",
            "city": "KEWANEE",
            "state": "IL",
            "postal_code": "614430747",
            "telephone_number": "309-852-7700",
            "fax_number": "309-852-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 W SOUTH ST",
            "city": "KEWANEE",
            "state": "IL",
            "postal_code": "614438354",
            "telephone_number": "309-852-7700",
            "fax_number": "309-852-7764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSELLA",
        "first_name": "KATHERINE",
        "credential": "R.N, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "309-000755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3715468",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "371548",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kewanee Hospital Pharmacy
• Kewanee Medical Clinic
• Kewanee Physical Therapy and Rehab Specialists
• Kewanee Physical Therapy and Rehab Specialists LLC
• Thomas U Kim, LCSW
• Amanda K Kocis, DPT
• Tauni L Koning, D.C.
• Kenneth Robert Krueger, RPH
• Zahra Lalwani Lasee, OD
• James S Lindbom, MD

• Family Nurse Practitioner in Kewanee, IL
• Providers in Kewanee, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.