Individual provider Active NPI

Kristin Lynn King, MSN, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1508264292
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209011726 Issued in IL
Practice address
230 W Monroe St
Suite 2540
Chicago, IL 60606-4703
Phone
(847) 313-5982
NPI assigned
Dec 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 209011726 IL Primary

Addresses

Primary practice location

230 W Monroe St
Suite 2540
Chicago, IL 60606-4703

Mailing address

230 W Monroe St
Suite 2540
Chicago, IL 60606-4703
Phone (847) 313-5982

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
I20150223000889 IL Practitioner - Nurse Practitioner 2365767050 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Najjar Medical LTD CurrentSince Jul 1, 2015 Accepting new patients
Vitae Health Medical Illinois, PLLC CurrentSince Oct 1, 2018 Accepting new patients
Metropolitan Healthcare Partners PLLC Past Accepting new patients

Locations

3400 S Indiana Ave
Chicago, IL 60616
Phone (312) 482-5000

66 W Oak St
Chicago, IL 60610
Phone (312) 337-5400

820 W Lawrence Ave
Chicago, IL 60640
Phone (773) 769-2570

4538 N Beacon St
Chicago, IL 60640
Phone (773) 275-7200

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

2544 W Montrose Ave
Chicago, IL 60618
Phone (773) 267-2622

701 N La Grange Rd
La Grange Pk, IL 60526
Phone (708) 681-3200

365 E North Ave
Northlake, IL 60164
Phone (517) 273-1540

3450 Oakton St
Ste 300
Skokie, IL 60076

Organizations & group practices 3

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": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1508264292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 W MONROE ST",
            "address_2": "SUITE 2540",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606064703",
            "telephone_number": "847-313-5982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 W MONROE ST",
            "address_2": "SUITE 2540",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606064703",
            "telephone_number": "847-313-5982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "KRISTIN",
        "middle_name": "LYNN",
        "credential": "MSN, AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-11",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209011726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.