Organization Active NPI

Dei Gracia Community Health Foundation NFP

  • Primary Care Nurse Practitioner
  • Urbana, IL
National Provider Identifier
1669383402
Registry record updated Sep 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
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

Updated by the provider on Sep 12, 2026

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)CodeLicenseStatePrimary
Behavioral Neurology & Neuropsychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084B0040X
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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.

Verify at the official NPI Registry.