Individual provider Active NPI

Kristen Coleman, NP

  • Adult Health Nurse Practitioner
  • Lake Forest, IL
National Provider Identifier
1376891549
Registry record updated Aug 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209009492 Issued in IL
Practice address
800 N Westmoreland Rd
Lake Forest, IL 60045-1673
Phone
(847) 735-8550
NPI assigned
Aug 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 209009492 IL Primary

Addresses

Primary practice location

800 N Westmoreland Rd
Lake Forest, IL 60045-1673

Mailing address

800 N Westmoreland Rd
Lake Forest, IL 60045-1673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121024000186 IL Practitioner - Nurse Practitioner 0547410706 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209009492ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group CurrentSince Nov 1, 2020 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Sep 2, 2012 Accepting new patients
Rush University Medical Center CurrentSince Nov 1, 2020 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Sep 2, 2012 Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1725 W Harrison St
Ste 1159
Chicago, IL 60612
Phone (312) 942-5020

1725 W Harrison St
Ste 1010
Chicago, IL 60612
Phone (312) 942-5904

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

610 S Maple Ave
Ste 2200
Oak Park, IL 60304
Phone (708) 660-2328

Interoperability endpoints

  • Direct secure messaging: kcoleman65933@direct.rush.rush-health.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1345420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345420800000",
    "number": "1376891549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N WESTMORELAND RD",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N WESTMORELAND RD",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451673",
            "telephone_number": "847-735-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "KRISTEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-20",
        "last_updated": "2012-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209009492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, IL

Sources for this page

Verify at the official NPI Registry.