Active NPI
Kristin Danielle Downs, APN
- Nurse Practitioner
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209018696
- Practice address
- 10408 N Centerway Dr
Peoria, IL 61615-1234 - Phone
- (309) 308-5100
- NPI assigned
- Jan 24, 2019
- 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 | 209018696 | IL | Primary |
Addresses
Primary practice location
10408 N Centerway Dr
Peoria, IL 61615-1234
Mailing address
10408 N Centerway Dr
Peoria, IL 61615-1234
Phone (309) 308-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209018696 | Other | IL | APN LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4029 Northwest Ave
Suite 301
Bellingham, WA 98226-9077
Phone (360) 752-0518
Hospital & facility affiliations
- St Michael Medical Center
- Jefferson Healthcare
- Olympic Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209018696 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Sound Pain Alliance | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Sound Pain Alliance | Current | Accepting new patients | |
| Sound Pain Alliance | Current | Accepting new patients | |
| Sound Pain Alliance | Past | Accepting new patients |
Locations
4029 Northwest Ave
Ste 301
Bellingham, WA 98226
Phone (360) 526-8685
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
9220 Ridgetop Blvd NW
Ste 200
Silverdale, WA 98383
Phone (360) 415-9110
9220 Ridgetop Blvd NW
Ste 100
Silverdale, WA 98383
Phone (360) 308-0930
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pain Medicine Physician
- Bellingham, WA
- NPI 1649776394
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Pediatrics Physician
- Federal Way, WA
- NPI 1407409741
-
- Pain Clinic/Center
- Corvallis, OR
- NPI 1437893286
-
- Ambulatory Surgical Clinic/Center
- Bellingham, WA
- NPI 1457695116
-
- Pain Clinic/Center
- Burlington, WA
- NPI 1538405709
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Angeles, WA
- NPI 1306845557
-
- General Acute Care Hospital
- Silverdale, WA
- NPI 1518912609
-
- Medicare Defined Swing Bed Hospital Unit
- Port Townsend, WA
- NPI 1104950039
-
- Critical Access Hospital
- Port Townsend, WA
- NPI 1356492953
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Silverdale, WA
- NPI 1467664631
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548288000000",
"number": "1669936506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10408 N CENTERWAY DR",
"city": "PEORIA",
"state": "IL",
"postal_code": "616151234",
"telephone_number": "309-308-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10408 N CENTERWAY DR",
"city": "PEORIA",
"state": "IL",
"postal_code": "616151234",
"telephone_number": "309-308-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOWNS",
"first_name": "KRISTIN",
"middle_name": "DANIELLE",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-24",
"last_updated": "2019-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209018696",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APN LICENSE",
"identifier": "209018696",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.