Active NPI
Katie Parker, APN
- Pediatric Nurse Practitioner
- Burr Ridge, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 209011070
- 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
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 |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Infectious Disease Consultants LLC | Current | Accepting new patients | |
| Metro Infectious Disease Consultants, LLC | Current | Accepting new patients | |
| Metro Infectious Disease Consultants LLC | Current | 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
- 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.
-
- Infectious Disease Physician
- Burr Ridge, IL
- NPI 1235125717
-
- Infectious Disease Physician
- Normal, IL
- NPI 1811154354
-
- Infectious Disease Physician
- Jonesboro, GA
- NPI 1770307191
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.