Active NPI
Home Town Healthcare & Urgent Care
- Pediatric Nurse Practitioner
- Orion, IL
National Provider Identifier
1457059412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- Legal business name
- HOME TOWN HEALTHCARE & URGENT CARE
- Practice address
- 410 11TH Ave
Orion, IL 61273-7772 - Phone
- (309) 258-2804
- NPI assigned
- Feb 20, 2023
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Kristine Marie Morland-Schultz, APRN
- Title
- Owner
- Phone
- (309) 258-2804
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
National Provider Directory
National Provider Directory- Tax ID family
- Home Town Healthcare Urgent Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nurse Practitioner
- Orion, IL
- NPI 1568134922
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | |||
| Pediatric Nurse Practitioner | 363LP0200X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
410 11TH Ave
Orion, IL 61273-7772
Mailing address
9377 E 600TH St
Lynn Center, IL 61262-9789
Phone (309) 258-2804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 20, 2023.
{
"created_epoch": "1676851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676851200000",
"number": "1457059412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9377 E 600TH ST",
"city": "LYNN CENTER",
"state": "IL",
"postal_code": "612629789",
"telephone_number": "309-258-2804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 11TH AVE",
"city": "ORION",
"state": "IL",
"postal_code": "612737772",
"telephone_number": "309-258-2804"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME TOWN HEALTHCARE & URGENT CARE",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-20",
"last_updated": "2023-02-20",
"certification_date": "2021-10-04",
"status": "A",
"authorized_official_last_name": "MORLAND-SCHULTZ",
"authorized_official_first_name": "KRISTINE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "309-258-2804",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orion, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.