Active NPI
Mary J Harker, APN
- Nurse Practitioner
- Belvidere, IL
National Provider Identifier
1649410994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209000739
- Practice address
- 230 W Chrysler Dr
Belvidere, IL 61008-6304 - Phone
- (866) 825-3227
- NPI assigned
- Feb 26, 2009
- Last updated
- Feb 26, 2009
- 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 | 209000739 | IL | Primary |
Addresses
Primary practice location
230 W Chrysler Dr
Belvidere, IL 61008-6304
Mailing address
161 Washington St
Eight Tower, Ste 1400
Conshohocken, PA 19428-2083
Phone (866) 825-3227
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235606400000",
"number": "1649410994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 WASHINGTON ST",
"address_2": "EIGHT TOWER, STE 1400",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194282083",
"telephone_number": "866-825-3227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 W CHRYSLER DR",
"city": "BELVIDERE",
"state": "IL",
"postal_code": "610086304",
"telephone_number": "866-825-3227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARKER",
"first_name": "MARY",
"middle_name": "J",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-26",
"last_updated": "2009-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209000739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belvidere, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.