Individual provider Active NPI

Kasey Nemitz

  • Physician Assistant
  • Naperville, IL
National Provider Identifier
1376176826
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085007826 Issued in IL
Practice address
1763 Freedom Dr Ste 117
Naperville, IL 60563-3553
Phone
(630) 687-9595
NPI assigned
Feb 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085007826 IL Primary

Addresses

Primary practice location

1763 Freedom Dr Ste 117
Naperville, IL 60563-3553

Mailing address

1763 Freedom Dr Ste 117
Naperville, IL 60563-3553
Phone (630) 687-9595

Other practice location 1

2353 Alexander Ter
Homewood, IL 60430-3102
Phone (708) 653-2174

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

LicenseStateTypeSpecialty
085007826ILMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: kasey.nemitz@il020.digichart.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1376176826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1763 FREEDOM DR STE 117",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605633553",
            "telephone_number": "630-687-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1763 FREEDOM DR STE 117",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605633553",
            "telephone_number": "630-687-9595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2353 Alexander Ter",
            "address_purpose": "LOCATION",
            "city": "Homewood",
            "state": "IL",
            "postal_code": "604303102",
            "country_code": "US",
            "telephone_number": "708-653-2174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEMITZ",
        "first_name": "KASEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085007826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.