Organization Active NPI

Home Town Healthcare & Urgent Care

  • Pediatric Nurse Practitioner
  • Orion, IL
National Provider Identifier
1457059412
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
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, APRNNPI 1922383280
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 Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Pediatric Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0200X Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.