Individual provider Active NPI

Kaitlyn Bridget Frank, APN

  • Family Nurse Practitioner
  • Evergreen Park, IL
National Provider Identifier
1841667813
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209013203 Issued in IL
Practice address
2850 W 95TH St Ste 400
Evergreen Park, IL 60805-2755
Phone
(708) 424-7600
Fax
(708) 424-7605
NPI assigned
Aug 26, 2015
Last updated
Nov 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209013203 IL Primary

Addresses

Primary practice location

2850 W 95TH St Ste 400
Evergreen Park, IL 60805-2755

Mailing address

2850 W 95TH St Ste 400
Evergreen Park, IL 60805-2755
Phone (708) 424-7600

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kfrank275949@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209013203ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alzein Medical LTD CurrentSince Jan 2, 2022 Accepting new patients
Excel Occupational Health Clinic S.C. Current Accepting new patients

Locations

2850 W 95th St
Ste 400
Evergreen Pk, IL 60805
Phone (708) 424-7600

5102 Museum Dr
Oak Lawn, IL 60453
Phone (224) 572-8739

Organizations & group practices 2

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": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1841667813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 W 95TH ST STE 400",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052755",
            "telephone_number": "708-424-7600",
            "fax_number": "708-424-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 W 95TH ST STE 400",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052755",
            "telephone_number": "708-424-7600",
            "fax_number": "708-424-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANK",
        "first_name": "KAITLYN",
        "middle_name": "BRIDGET",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-26",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209013203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kfrank275949@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2850 W 95th St Ste 400",
            "city": "Evergreen Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "608052755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2850 W 95th St Ste 400",
            "city": "Evergreen Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "608052755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evergreen Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.