Kandi Burlingame, RN, CDCES
Individual provider Active NPI Diabetes Educator Registered Nurse · Peru, IL
NPI 1578291944 · NPPES record last updated Aug 12, 2022
Key facts
- NPI
- 1578291944
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diabetes Educator Registered Nurse 163WD0400X
- License
- 041355511 (IL)
- Practice address
- 310 Walnut St
Peru, IL 61354-1946 - Phone
- (815) 780-3309
- Fax
- (815) 780-3476
- NPI assigned
- Aug 12, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041355511 | IL | MD | Diabetes Educator Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | 041355511 | IL | Yes |
Addresses
Primary practice location
310 Walnut St
Peru, IL 61354-1946
Mailing address
600 E 1St St
Spring Valley, IL 61362-1512
Phone (815) 664-5311
Other providers in Peru, IL
- Nathan Bowers
- David Bernerd Brandner
- Kelsey Janelle Brannan
- Matthew Bruno
- Nora Rose Burch
- Steven Busch
- Alyssa Butkiewicz
- Jennifer Calhoun
- Canyon Crest Radiation Oncology PLLC
- Capstone Urology of Illinois SC
All providers in Peru, IL · Diabetes Educator Registered Nurse in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.