Active NPI
Timothy K Urquhart, RN, BSN
- Student in an Organized Health Care Education/Training Program
- Durand, IL
National Provider Identifier
1417483595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 041.413981
- Practice address
- 509 W Main St
Durand, IL 61024-8912 - Phone
- (815) 821-4217
- Fax
- (855) 274-8523
- NPI assigned
- May 10, 2017
- Last updated
- May 10, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 041.413981 | IL | Primary |
| Paramedic | 146L00000X | 0000344697 | IL |
Addresses
Primary practice location
509 W Main St
Durand, IL 61024-8912
Mailing address
509 W Main St
Durand, IL 61024-8912
Phone (815) 821-4217
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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000344697 | IL | MD | Paramedic |
| 041.413981 | IL | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494374400000",
"number": "1417483595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 W MAIN ST",
"city": "DURAND",
"state": "IL",
"postal_code": "610248912",
"telephone_number": "815-821-4217",
"fax_number": "855-274-8523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 W MAIN ST",
"city": "DURAND",
"state": "IL",
"postal_code": "610248912",
"telephone_number": "815-821-4217",
"fax_number": "855-274-8523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URQUHART",
"first_name": "TIMOTHY",
"middle_name": "K",
"name_prefix": "Mr.",
"credential": "RN, BSN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-10",
"last_updated": "2017-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IL",
"license": "041.413981",
"primary": true
},
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "IL",
"license": "0000344697",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durand, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.