Emily Rose Kist, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.025930 Issued in IL

Practice address

411 W River Rd
Elgin, IL 60123-1570

Phone

(847) 281-5394

NPI assigned

Jul 11, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1851943708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W RIVER RD",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601231570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W RIVER RD",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601231570",
            "telephone_number": "847-281-5394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIST",
        "first_name": "EMILY",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704317522",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.025930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soo Y Kim, M.D.
• Nicole B Kinberg, APRN
• Kinder Healthcare Inc.
• Emily J Kirwin
• Mayra Kiscellus, FNP-BC
• Gabi Kitchell
• Shani Bethany Klapheck
• Amy Klaus, PA-C
• Julia Kleinfall, AUD
• Kelli Kleiser, CCC-SLP

• Family Nurse Practitioner in Elgin, IL
• Providers in Elgin, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.