Active NPI
Kelly Delaney Coyne, RN, CPNP
- Pediatric Oncology Registered Nurse
- Chicago, IL
National Provider Identifier
1780619551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Oncology Registered Nurse
- Practice address
- 2300 N Childrens PLZ
Box 30
Chicago, IL 60614-3363 - Phone
- (773) 975-8643
- Fax
- (773) 880-3019
- NPI assigned
- Jul 11, 2006
- Last updated
- Jul 8, 2007
- 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 Oncology Registered Nurse | 163WP0218X | IL | Primary |
Addresses
Primary practice location
2300 N Childrens PLZ
Box 30
Chicago, IL 60614-3363
Mailing address
4145 Wolf Rd
Western Springs, IL 60558-1451
Phone (708) 784-3423
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)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209-002806 | IL | MD | Pediatric Oncology Registered Nurse |
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, 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": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780619551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4145 WOLF RD",
"city": "WESTERN SPRINGS",
"state": "IL",
"postal_code": "605581451",
"telephone_number": "708-784-3423",
"fax_number": "773-880-3019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 N CHILDRENS PLZ",
"address_2": "BOX 30",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606143363",
"telephone_number": "773-975-8643",
"fax_number": "773-880-3019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COYNE",
"first_name": "KELLY",
"middle_name": "DELANEY",
"name_prefix": "Mrs.",
"credential": "RN, CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0218X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatric Oncology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.