Kirsten Gornick

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

209.015513 Issued in IL

Practice address

216 S Arlington Heights Rd
Arlington Heights, IL 60005-1929

Phone

(847) 221-4400

Fax

(847) 221-4465

NPI assigned

Mar 13, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kirsten Elise Pacheco Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1700327558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 S ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051929",
            "telephone_number": "847-221-4400",
            "fax_number": "847-221-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 S ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051929",
            "telephone_number": "847-221-4400",
            "fax_number": "847-221-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORNICK",
        "first_name": "KIRSTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209.015513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRSTEN",
            "last_name": "PACHECO",
            "middle_name": "ELISE",
            "credential": "CNM, APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joel E. Goodnough, M.D.
• Sarah M Goodworth, LCSW
• Carol Ellen Gordon, PSY.D.,CADC
• Shelby Paige Gordon
• Danila M Gorelov, APN-CRNA
• Goshen Healthcare Inc
• Matthew James Gotta, DMD
• Carrie Gottainer, PSY.D.
• Argirios Gouriotis, LCSW
• Sheila Goyal, M.D.

• Advanced Practice Midwife in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Advanced Practice Midwife in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.