Active NPI
Swapna C Kappan
- Family Nurse Practitioner
- Park Ridge, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209020024
- 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, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 209020024 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Internal Medicine Physician
- Park Ridge, IL
- NPI 1679596027
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.