Karlijn Burridge, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085.007045 Issued in IL

Practice address

460 Quail Ridge Dr
Westmont, IL 60559-6145

Phone

(630) 986-2800

Fax

(630) 986-2440

NPI assigned

Dec 28, 2009

Last updated

Jan 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Miss Karlijn Uijterschout Former name

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthy4Life LLCGroup PAC ID 2163911702, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: healthy4life.karliburridge@161719.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healthy4Life LLC

  • Obesity Medicine (Preventive Medicine) Physician
  • Naperville, IL
  • NPI 1083418404
  Medicare reassignment Care Compare group NPD
• Rosen Medical Group, LLC

  dba LifeWeigh Bariatrics

  • Surgery Physician
  • Downers Grove, IL
  • NPI 1912059064
  NPD
• Arizona Primary Care Physicians, LLC

  • Family Medicine Physician
  • Glendale, AZ
  • NPI 1033523949
  NPD (past)

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

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1750611646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 HAWTHORNE BLVD",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601374040",
            "telephone_number": "520-250-7135",
            "fax_number": "630-261-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 QUAIL RIDGE DR",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605596145",
            "telephone_number": "630-986-2800",
            "fax_number": "630-986-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRIDGE",
        "first_name": "KARLIJN",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-28",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.007045",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085.007045",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA08041",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "4563",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARLIJN",
            "last_name": "UIJTERSCHOUT",
            "prefix": "MISS",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie M Burbidge, DPT
• Burgess Square Healthcare and Rehabilitation Centre, LLC
• Burlington Health Services
• Lloyd Spencer Burns, D.O.
• Patricia Burnside
• Carolyn Burton, RPH
• Lidys Y Bustos
• Anisha Butler
• Carey Byrne, PT
• C & G Diagnostics LTD (Quallity of Life Diagnostics)

• Physician Assistant in Westmont, IL
• Providers in Westmont, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.

Verify at the official NPI Registry.