Individual provider Active NPI

Kimberly Joy Foster

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1407435985
Registry record updated Apr 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.022878 Issued in IL
Practice address
8801 S Bishop St
Chicago, IL 60620-4918
Phone
(773) 615-8441
NPI assigned
Apr 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.022878 IL Primary

Addresses

Primary practice location

8801 S Bishop St
Chicago, IL 60620-4918

Mailing address

8801 S Bishop St
Chicago, IL 60620-4918
Phone (773) 615-8441

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
I20230314001918 IL Practitioner - Nurse Practitioner 5890169890 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forever Care Home Visiting Physicians IncGroup PAC ID 1850631912, 14 clinicians

Practice addresses (Care Compare)

2250 E Devon Ave
Suite 332
Des Plaines, IL 60018-4511
Phone (847) 257-7984

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.022878ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Anthony Health Affiliates CurrentSince Mar 1, 2023 Accepting new patients
Forever Care Home Visiting Physicians Inc CurrentSince May 31, 2024 Accepting new patients
McDermott Center CurrentSince Sep 4, 2025 Accepting new patients
Saint Anthony Health Affiliates CurrentSince Mar 1, 2023 Accepting new patients
New Southtown Medical Group S C CurrentSince May 12, 2024 Accepting new patients

Locations

2875 W 19th St
Chicago, IL 60623
Phone (773) 484-4300

2001 S California Ave
Chicago, IL 60608
Phone (773) 484-1201

124 N Sangamon St
Chicago, IL 60607
Phone (312) 226-7984

4177 S Archer Ave
Chicago, IL 60632
Phone (773) 254-2222

8205 Cass Ave
Ste 110B
Darien, IL 60561
Phone (773) 840-4747

2400 E Devon Ave
Ste 286
Des Plaines, IL 60018
Phone (847) 257-7984

Interoperability endpoints

  • Direct secure messaging: kimberly.fosterbrown.p1@direct.hcenter.nextgenshare.com

Organizations & group practices 5

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": "1617408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617408000000",
    "number": "1407435985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 S BISHOP ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606204918",
            "telephone_number": "773-615-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 S BISHOP ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606204918",
            "telephone_number": "773-615-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "KIMBERLY",
        "middle_name": "JOY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-03",
        "last_updated": "2021-04-03",
        "certification_date": "2021-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.022878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.