Donna Kitchen, NURSE PRACTITIONER

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209.020148 Issued in IL

Practice address

3535 Sorrel Dr
Northbrook, IL 60062-2230

Phone

(874) 509-0858

NPI assigned

Jan 19, 2020

Last updated

Jan 19, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Advanced Physical Medicine & Therapy, LTD.

  • Customized Equipment (DME)
  • Mount Prospect, IL
  • NPI 1821680273
  NPD (past)
• Lovedale Home Health Care Services Inc

  • Family Medicine Physician
  • Glenview, IL
  • NPI 1184447369
  NPD (past)

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

{
    "created_epoch": "1579392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579392000000",
    "number": "1811527716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 SORREL DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622230",
            "telephone_number": "874-509-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 SORREL DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622230",
            "telephone_number": "874-509-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITCHEN",
        "first_name": "DONNA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-19",
        "last_updated": "2020-01-19",
        "certification_date": "2020-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.020148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Northbrook",
            "affiliation": "N",
            "address_1": "3535 Sorrel Dr",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Diane S. Kirkorsky, O.D.
• Rahshonda Kirkwood, LPC
• Marcy Kirshenbaum
• Inbar Kirson, M.D.
• Christina Kirwan, RBT-19-94018
• Tracey Lipsig Kite, LCSW
• Cheryl T Klatka, RBT-18-58028
• Leonard Klayman, DDS
• Katherine B Klehr, PHD
• Shelley Kleinman, PT

• Nurse Practitioner in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2020; 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.