Active NPI
Jennifer Lynn Hoeppner, FNP-BC
- Family Nurse Practitioner
- South Elgin, IL
National Provider Identifier
1316387244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209010590
- Practice address
- 530 Randall Rd
South Elgin, IL 60177-3315 - Phone
- (847) 697-1017
- NPI assigned
- Jun 25, 2013
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209010590 | IL | Primary |
Addresses
Primary practice location
530 Randall Rd
South Elgin, IL 60177-3315
Mailing address
41W103 Derby CT
Huntley, IL 60142-6727
Phone (846) 836-1903
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375574400000",
"number": "1316387244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41W103 DERBY CT",
"city": "HUNTLEY",
"state": "IL",
"postal_code": "601426727",
"telephone_number": "846-836-1903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 RANDALL RD",
"city": "SOUTH ELGIN",
"state": "IL",
"postal_code": "601773315",
"telephone_number": "847-697-1017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOEPPNER",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-25",
"last_updated": "2013-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209010590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.