Individual provider Active NPI

Swapna C Kappan

  • Family Nurse Practitioner
  • Park Ridge, IL
National Provider Identifier
1548873391
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209020024 Issued in IL
Practice address
1875 W Dempster St Ste 605
Park Ridge, IL 60068-1168
Phone
(847) 692-6750
Fax
(847) 692-6755
NPI assigned
Aug 30, 2020
Last updated
Mar 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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 209020024 IL Primary

Addresses

Primary practice location

1875 W Dempster St Ste 605
Park Ridge, IL 60068-1168

Mailing address

2564 E Haverhill CT
Arlington HTS, IL 60004-4355
Phone (847) 630-8408

Other practice location 1

7447 W Talcott Ave Ste 512
Chicago, IL 60631-3716
Phone (773) 774-1790

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address credentialing@nephdocs.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
209020024ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Global Health Care SC Current Accepting new patients

Locations

7447 W Talcott Ave
Ste 512
Chicago, IL 60631
Phone (773) 237-8722

1875 W Dempster St
Ste 605
Park Ridge, IL 60068
Phone (847) 439-8780

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1598745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1548873391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2564 E HAVERHILL CT",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600044355",
            "telephone_number": "847-630-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 W DEMPSTER ST STE 605",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681168",
            "telephone_number": "847-692-6750",
            "fax_number": "847-692-6755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7447 W Talcott Ave Ste 512",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606313716",
            "country_code": "US",
            "telephone_number": "773-774-1790",
            "fax_number": "773-774-1796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAPPAN",
        "first_name": "SWAPNA",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-30",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209020024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@nephdocs.com",
            "affiliation": "N",
            "address_1": "1875 W Dempster St Ste 605",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600681168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.