Active NPI
Dei Gracia Community Health Foundation NFP
- Primary Care Nurse Practitioner
- Urbana, IL
National Provider Identifier
1669383402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- DEI GRACIA COMMUNITY HEALTH FOUNDATION NFP
- Practice address
- 909 N Cunningham Ave Ste a
Urbana, IL 61802-1746 - Phone
- (217) 607-8110
- NPI assigned
- Sep 12, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nathalie Rosine Kori Nkenlifack Manhenkeu, APRN
- Title
- DNP,FNP,Pmhnp
- Phone
- (217) 819-7328
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavioral Neurology & Neuropsychiatry Physician | 2084B0040X | |||
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
909 N Cunningham Ave Ste a
Urbana, IL 61802-1746
Mailing address
909 N Cunningham Ave Ste a
Urbana, IL 61802-1746
Phone (217) 607-8110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789171200000",
"number": "1669383402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 N CUNNINGHAM AVE STE A",
"city": "URBANA",
"state": "IL",
"postal_code": "618021746",
"telephone_number": "217-607-8110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 N CUNNINGHAM AVE STE A",
"city": "URBANA",
"state": "IL",
"postal_code": "618021746",
"telephone_number": "217-607-8110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEI GRACIA COMMUNITY HEALTH FOUNDATION NFP",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-12",
"last_updated": "2026-09-12",
"certification_date": "2026-09-12",
"status": "A",
"authorized_official_last_name": "KORI NKENLIFACK MANHENKEU",
"authorized_official_first_name": "NATHALIE ROSINE",
"authorized_official_title_or_position": "DNP,FNP,PMHNP",
"authorized_official_telephone_number": "217-819-7328",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "2084B0040X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Urbana, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.