Individual provider Active NPI

Carol Kindleberger, APRN, FNP-BC

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1457806861
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.014627 Issued in IL
Practice address
2001 S California Ave
Suite 100
Chicago, IL 60608-2486
Phone
(773) 584-6200
NPI assigned
Aug 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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 209.014627 IL Primary

Addresses

Primary practice location

2001 S California Ave
Suite 100
Chicago, IL 60608-2486

Mailing address

2001 S California Ave
Suite 100
Chicago, IL 60608-2486
Phone (773) 584-6200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address carol.kindleberger.1@11903.direct.athenahealth.com Direct

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
I20170712002952 IL Practitioner - Nurse Practitioner 5395014997 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primecare Community Health, Inc.Group PAC ID 6204722077, 41 clinicians

Practice addresses (Care Compare)

1431 N Western Ave
Suite 406
Chicago, IL 60622-1774
Phone (312) 491-5495

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.014627ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primecare Community Health, Inc. Current Accepting new patients
Esperanza Health Centers Current Accepting new patients
Primecare Community Health, Inc. CurrentSince Nov 12, 2024 Accepting new patients
Primecare Community Health Inc CurrentSince Nov 12, 2024 Accepting new patients
Esperanza Health Centers CurrentSince Jun 21, 2017 Accepting new patients
Esperanza Health Centers CurrentSince Jun 21, 2017 Accepting new patients
Primecare Community Health Inc. Past Accepting new patients

Locations

2001 S California Ave
Ste 100
Chicago, IL 60608
Phone (773) 640-5785

1431 N Western Ave
Ste 406
Chicago, IL 60622
Phone (312) 491-5495

1308 N Elston Ave
Chicago, IL 60642
Phone (312) 633-5841

5635 W Belmont Ave
Chicago, IL 60634
Phone (773) 736-1830

1649 N Pulaski Rd
Chicago, IL 60639
Phone (773) 278-6868

1127 N Oakley Blvd
Bldg 2
Chicago, IL 60622

1431 N Western Ave
Ste 202
Chicago, IL 60622
Phone (773) 276-2272

1920 N Hamlin Ave
Chicago, IL 60647
Phone (773) 772-7202

3924 W Fullerton Ave
Chicago, IL 60647
Phone (773) 276-2229

1431 N Western Ave
Ste 209
Chicago, IL 60622
Phone (312) 491-5435

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11903/brand/1/csg/1/fhir/r4
  • Direct secure messaging: carol.kindleberger.1@11903.direct.athenahealth.com

Organizations & group practices 7

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": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1457806861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S CALIFORNIA AVE",
            "address_2": "SUITE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082486",
            "telephone_number": "773-584-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S CALIFORNIA AVE",
            "address_2": "SUITE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082486",
            "telephone_number": "773-584-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINDLEBERGER",
        "first_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-16",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.014627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carol.kindleberger.1@11903.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2001 S California Ave",
            "address_2": "Suite 100",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606082486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.