Individual provider Active NPI

Lisa K Rounds, C.P.N.P.

  • Pediatric Nurse Practitioner
  • Kankakee, IL
National Provider Identifier
1376979815
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
209010683 Issued in IL
Practice address
70 Meadowview Ctr
Suite 300
Kankakee, IL 60901-2047
Phone
(815) 802-0022
Fax
(815) 802-0011
NPI assigned
Sep 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 209010683 IL Primary

Addresses

Primary practice location

70 Meadowview Ctr
Suite 300
Kankakee, IL 60901-2047

Mailing address

70 Meadowview Ctr Ste 300
Kankakee, IL 60901-2062
Phone (815) 802-0022

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
I20200720000579 IL Practitioner - Nurse Practitioner 8123250008 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209010683ILMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carle Health Care Incorporated CurrentSince May 11, 2020 Accepting new patients
Zaheer Pediatric Associates, SC Past Accepting new patients
Carle Health Care Incorporated Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Interoperability endpoints

  • Direct secure messaging: lroundsaprn309007@carlehiedirect.net

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": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1376979815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MEADOWVIEW CTR",
            "address_2": "SUITE 300",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012047",
            "telephone_number": "815-802-0022",
            "fax_number": "815-802-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUNDS",
        "first_name": "LISA",
        "middle_name": "K",
        "credential": "C.P.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-16",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209010683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kankakee, IL

Sources for this page

Verify at the official NPI Registry.