Kelsey Elizabeth Casolari, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.020713 Issued in IL

Practice address

204 W Washington St
East Peoria, IL 61611-2477

Phone

(309) 512-0902

NPI assigned

Sep 28, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1569628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1477104685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W CONEFLOWER DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W WASHINGTON ST",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616112477",
            "telephone_number": "309-512-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASOLARI",
        "first_name": "KELSEY",
        "middle_name": "ELIZABETH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-28",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.020713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert David Buechner, DC
• Staci A Burris, PTA
• Amy Bussman
• Wendy Buster, M.S.
• Aneta M Byrd, LPN
• Central Illinois Center for TMJ and Facial Pain PC (TMJ & Sleep Apnea Center of Central IL)
• Central Illinois Center for TMJ and Facial Pain, P.C.
• Central Illinois Chiropractic Center PC
• Erin Chan
• Chicago Hearing LLC (Miracle Ear)

• Family Nurse Practitioner in East Peoria, IL
• Providers in East Peoria, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; 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.