Katrina Wiedenfeld, APRN, CPNP-PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

209.033009 Issued in IL

Practice address

70 Meadowview Ctr Ste 300
Kankakee, IL 60901-2062

Phone

(815) 802-0022

Fax

(815) 802-0011

NPI assigned

Aug 22, 2025

Last updated

Aug 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Katrina Peters Former name

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": "1755820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1346128915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 KENSINGTON ST",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604049407",
            "telephone_number": "815-546-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MEADOWVIEW CTR STE 300",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012062",
            "telephone_number": "815-802-0022",
            "fax_number": "815-802-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEDENFELD",
        "first_name": "KATRINA",
        "credential": "APRN, CPNP-PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-22",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "209.033009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "PETERS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Beth Wertz, RN
• Darius West
• Westwood Obstetrics & Gynecology
• John Wetstein
• Micah Wetzel
• William Mitsos DDS
• Addam Williams
• Gretchen Kathleen Williams, D.O
• Karen A Williams, MOTR/L
• Shiri Grace Wilson

• Pediatrics Physician in Kankakee, IL
• Providers in Kankakee, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.