Individual provider Active NPI

Kathleen Taylor, DNP

  • Informatics Clinical Nurse Specialist
  • Hawthorn Woods, IL
National Provider Identifier
1831899830
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Informatics Clinical Nurse SpecialistTaxonomy code 364SI0800X
License
041379149 Issued in IL
Practice address
11 Park Place Cir
Hawthorn Woods, IL 60047-6613
Phone
(847) 903-5323
NPI assigned
Mar 8, 2023
Last updated
Mar 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Informatics Clinical Nurse Specialist 364SI0800X 041379149 IL Primary

Addresses

Primary practice location

11 Park Place Cir
Hawthorn Woods, IL 60047-6613

Mailing address

11 Park Place Cir
Hawthorn Woods, IL 60047-6613
Phone (847) 903-5323

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
041379149ILMDInformatics Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1831899830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PARK PLACE CIR",
            "city": "HAWTHORN WOODS",
            "state": "IL",
            "postal_code": "600476613",
            "telephone_number": "847-903-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 PARK PLACE CIR",
            "city": "HAWTHORN WOODS",
            "state": "IL",
            "postal_code": "600476613",
            "telephone_number": "847-903-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SI0800X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Informatics",
            "state": "IL",
            "license": "041379149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorn Woods, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.