Active NPI
Kimberly Anglin
- Nurse Practitioner
- Evanston, IL
National Provider Identifier
1548170053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209036553
- Practice address
- 800 Austin St Ste 360
Evanston, IL 60202-3454 - Phone
- (847) 316-2635
- NPI assigned
- Sep 8, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209036553 | IL | Primary |
Addresses
Primary practice location
800 Austin St Ste 360
Evanston, IL 60202-3454
Mailing address
420 W Surf St Apt 504
Chicago, IL 60657-6120
Phone (419) 602-1255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1548170053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 W SURF ST APT 504",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606576120",
"telephone_number": "419-602-1255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 AUSTIN ST STE 360",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602023454",
"telephone_number": "847-316-2635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGLIN",
"first_name": "KIMBERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-08",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209036553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.