Individual provider Active NPI

Kaitlynn Dolniak, FNP-BC

  • Nurse Practitioner
  • Barrington, IL
National Provider Identifier
1770176893
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209022892 Issued in IL
Practice address
303 N Northwest Hwy Ste 104
Barrington, IL 60010-3395
Phone
(847) 387-3399
Fax
(847) 387-3397
NPI assigned
Feb 19, 2021
Last updated
Aug 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209022892 IL Primary

Addresses

Primary practice location

303 N Northwest Hwy Ste 104
Barrington, IL 60010-3395

Mailing address

1516 N Kaspar Ave
Arlington Heights, IL 60004-3761
Phone (224) 548-0054

Other practice location 1

1325 Remington Rd Ste X
Schaumburg, IL 60173-4815
Phone (630) 237-4500

Other names 1

  • Kaitie Borchers Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
209022892ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mens Health Chicago LLC PastSince Dec 13, 2022 Accepting new patients
Chicagoland Internal Medicine LLC Past Accepting new patients
Mens Health Lasalle LLC PastSince Dec 13, 2022 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1770176893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 N KASPAR AVE",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600043761",
            "telephone_number": "224-548-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N NORTHWEST HWY STE 104",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600103395",
            "telephone_number": "847-387-3399",
            "fax_number": "847-387-3397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 Remington Rd Ste X",
            "address_purpose": "LOCATION",
            "city": "Schaumburg",
            "state": "IL",
            "postal_code": "601734815",
            "country_code": "US",
            "telephone_number": "630-237-4500",
            "fax_number": "630-237-4502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOLNIAK",
        "first_name": "KAITLYNN",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-19",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209022892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITIE",
            "last_name": "BORCHERS",
            "credential": "FNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Barrington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.