Jori Retterer Carnithan, FNP, MSN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

377.001687 Issued in IL

Practice address

1949 S Bridge St
Yorkville, IL 60560-9851

Phone

(331) 259-4994

Fax

(630) 385-2934

NPI assigned

Oct 15, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jori Anne Retterer Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Cepamerica Illinois LLP

  • Emergency Medicine Physician
  • Elgin, IL
  • NPI 1912283110
  Medicare reassignment NPD
• Complete Medical Recovery

  • Family Medicine Physician
  • Yorkville, IL
  • NPI 1225883069
  NPD Authorized official
• Cep America - Illinois, LLP

  • Emergency Medicine Physician
  • Elgin, IL
  • NPI 1841745478
  NPD
• Cepamerica Illinois LLP

  • Emergency Medicine Physician
  • Springfield, IL
  • NPI 1871360297
  NPD
• Whole Child Pediatrics Natalie Drummond Limited

  • Pediatrics Physician
  • Yorkville, IL
  • NPI 1346598190
  NPD (past)

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1447503487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 S BRIDGE ST",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605609851",
            "telephone_number": "331-259-4994",
            "fax_number": "630-385-2934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 S BRIDGE ST",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605609851",
            "telephone_number": "331-259-4994",
            "fax_number": "630-385-2934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 S Lincolnway Ste F",
            "address_purpose": "LOCATION",
            "city": "North Aurora",
            "state": "IL",
            "postal_code": "605425118",
            "country_code": "US",
            "telephone_number": "331-259-4994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARNITHAN",
        "first_name": "JORI",
        "middle_name": "RETTERER",
        "credential": "FNP, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-15",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "377.001687",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "377.001687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORI",
            "last_name": "RETTERER",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Olivia Burton
• Deven Milin Butusov, LCSW
• Dawn Elisabeth Byrne, MSW
• Daniel P Carey, DVM
• Scott Carlson, PT, DPT
• Elidia Carrera, PT
• Ryan Patrick Carrie
• Natalie Carrillo
• Brett James Cassidy, MD
• Kelli M Catalano, RBT

• Nurse Practitioner in Yorkville, IL
• Providers in Yorkville, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.