Kathleen Lally, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209017197 Issued in IL

Practice address

2010 Jacobssen Dr
Normal, IL 61761-6280

Phone

(309) 452-0995

Fax

(309) 862-0961

NPI assigned

Feb 1, 2018

Last updated

May 14, 2024By the provider in NPPES

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

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Midwest Allergy Sinus Asthma SCGroup PAC ID 3870722283, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9233/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Midwest Allergy Sinus Asthma S.C.

  • Specialist
  • Normal, IL
  • NPI 1225466881
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1508365842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 JACOBSSEN DR",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617616280",
            "telephone_number": "309-452-0995",
            "fax_number": "309-862-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 JACOBSSEN DR",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617616280",
            "telephone_number": "309-452-0995",
            "fax_number": "309-862-0961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2151 W White Oaks Dr",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627046495",
            "country_code": "US",
            "telephone_number": "217-717-4404",
            "fax_number": "217-718-5284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LALLY",
        "first_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-01",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209017197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Kuchenbuch, LAT, ATC
• Michelle Kurtyak
• Andrew Kurtzman, DVM
• Kristen Lagally
• Lakeside Chiropractic, PLLC
• Kristin Marie Lamb, DPT
• Jacleen A Lampert, ATC
• Katelyn Marie Lamps
• David K Landess, OPTOMETRIST
• Landmark Dental Group PC

• Family Nurse Practitioner in Normal, IL
• Providers in Normal, 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 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.