Active NPI
Kathleen Anne Zielinski, CPNP
- Pediatric Nurse Practitioner
- Plainfield, IL
National Provider Identifier
1780088948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 277000680
- Practice address
- 24600 W 127TH St
Building B, Suite 345
Plainfield, IL 60585-9507 - Phone
- (815) 609-5437
- Fax
- (815) 609-8111
- NPI assigned
- Oct 17, 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 309007572 | IL | |
| Pediatric Nurse Practitioner | 363LP0200X | 041380014 | IL | |
| Pediatric Nurse Practitioner | 363LP0200X | 377000658 | IL | |
| Pediatric Nurse Practitioner | 363LP0200X | 209011415 | IL | |
| Pediatric Nurse Practitioner | 363LP0200X | 277000680 | IL | Primary |
Addresses
Primary practice location
24600 W 127TH St
Building B, Suite 345
Plainfield, IL 60585-9507
Mailing address
24600 W 127TH St
Building B, Suite 345
Plainfield, IL 60585-9507
Phone (815) 609-5437
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
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041380014 | IL | MD | Pediatric Nurse Practitioner |
| 209011415 | IL | MD | Pediatric Nurse Practitioner |
| 277000680 | IL | MD | Pediatric Nurse Practitioner |
| 309007572 | IL | MD | Pediatric Nurse Practitioner |
| 377000658 | IL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lurie Children'S Medical Group, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Chicago, IL
- NPI 1992758544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611792000000",
"number": "1780088948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24600 W 127TH ST",
"address_2": "BUILDING B, SUITE 345",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605859507",
"telephone_number": "815-609-5437",
"fax_number": "815-609-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24600 W 127TH ST",
"address_2": "BUILDING B, SUITE 345",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605859507",
"telephone_number": "815-609-5437",
"fax_number": "815-609-8111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIELINSKI",
"first_name": "KATHLEEN",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-17",
"last_updated": "2021-01-28",
"certification_date": "2021-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "IL",
"license": "309007572",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "IL",
"license": "041380014",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "IL",
"license": "377000658",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "IL",
"license": "209011415",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "IL",
"license": "277000680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plainfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.