Kathryn A Fry, NP-C
Individual provider Active NPI Family Nurse Practitioner · Auburn, IL
NPI 1821472044 · NPPES record last updated Aug 28, 2026
Key facts
- NPI
- 1821472044
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 277001424 (IL)
- Practice address
- 12101 Union School Rd
Auburn, IL 62615-9292 - Phone
- (217) 801-3015
- Fax
- (872) 231-0577
- NPI assigned
- Jul 17, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A164096 | IA | MD | Family Nurse Practitioner |
| 277001424 | IL | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 277001424 | IL | Yes |
| Family Nurse Practitioner |
363LF0000X | 8837 | MN |
Addresses
Primary practice location
12101 Union School Rd
Auburn, IL 62615-9292
Mailing address
12101 Union School Rd
Auburn, IL 62615-9292
Phone (217) 801-3015
Other practice location 1
21660 W Field Pkwy
Deer Park, IL 60010-7265
Phone (217) 801-3015
Other providers in Auburn, IL
- Christopher Erick Clem
- Melissa Anne Council
- Kimberly Danner
- Delivering Smiles LTD
- Gregory T Downs
- Glen a Weisgerber MD SC
- Andrea R Graham
- Diane Marie Hagemann
- Harry'S LTC Pharmacy
- Harrys Pharmacy, Inc
All providers in Auburn, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.