Individual provider Active NPI

Katie Parker, APN

  • Pediatric Nurse Practitioner
  • Burr Ridge, IL
National Provider Identifier
1750703104
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
209011070 Issued in IL
Practice address
901 McClintock Dr Ste 202
Burr Ridge, IL 60527-0872
Phone
(630) 655-6748
Fax
(630) 734-4715
NPI assigned
Jan 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 209011070 IL Primary

Addresses

Primary practice location

901 McClintock Dr Ste 202
Burr Ridge, IL 60527-0872

Mailing address

901 McClintock Dr Ste 201
Burr Ridge, IL 60527-0872
Phone (630) 654-4201

Other practice location 1

1460 N Halsted St
Suite 402
Chicago, IL 60642-2605
Phone (312) 279-8900

Other names 1

  • Katie Faragher Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210126002066 IL Practitioner - Nurse Practitioner 8123432515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Rush Medical College of Rush University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1809 N Mill St
Suite E
Naperville, IL 60563-4871
Phone (877) 448-3627

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Infectious Disease Consultants LLC CurrentSince Jan 1, 2021 Accepting new patients
Metro Infectious Disease Consultants, LLC Current Accepting new patients
Metro Infectious Disease Consultants LLC CurrentSince Jan 1, 2021 Accepting new patients

Locations

400 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 226-8100

901 McClintock Dr
Ste 104
Burr Ridge, IL 60527
Phone (630) 986-4580

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

901 McClintock Dr
Ste 201
Burr Ridge, IL 60527
Phone (630) 654-4201

901 McClintock Dr
Ste 2020
Burr Ridge, IL 60527

310 W Plaza Dr
Carterville, IL 62918
Phone (618) 525-0719

1435 N Randall Rd
Ste 404
Elgin, IL 60123
Phone (847) 741-5091

275 N York St
Ste 401
Elmhurst, IL 60126

1508 Essington Rd
Ste 3
Joliet, IL 60435

1809 N Mill St
Ste E
Naperville, IL 60563
Phone (630) 434-0071

1012 95th St
Ste 3
Naperville, IL 60564
Phone (630) 778-9444

519 E Lincoln Hwy
New Lenox, IL 60451

1300 Franklin Ave
Ste 230C
Normal, IL 61761
Phone (309) 585-6029

Interoperability endpoints

  • Direct secure messaging: katiefaragher@pha.allscriptsdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1390003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1750703104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MCCLINTOCK DR STE 201",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270872",
            "telephone_number": "630-654-4201",
            "fax_number": "312-279-6314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MCCLINTOCK DR STE 202",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270872",
            "telephone_number": "630-655-6748",
            "fax_number": "630-734-4715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1460 N Halsted St",
            "address_2": "Suite 402",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606422605",
            "country_code": "US",
            "telephone_number": "312-279-8900",
            "fax_number": "312-279-6314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "KATIE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-18",
        "last_updated": "2024-07-25",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209011070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "FARAGHER",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burr Ridge, IL

Sources for this page

Verify at the official NPI Registry.