Active NPI
Familia First Health NFP
- Family Medicine Physician
- Champaign, IL
National Provider Identifier
1871208074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FAMILIA FIRST HEALTH NFP
- Practice address
- 1401 S State St
Suite B
Champaign, IL 61820 - Phone
- (217) 721-5080
- NPI assigned
- Jan 23, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carrie Keenan, PA-C
- Title
- Coo
- Phone
- (217) 637-1310
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Pediatrics Physician | 208000000X |
Addresses
Primary practice location
1401 S State St
Suite B
Champaign, IL 61820
Mailing address
PO Box 2403
Champaign, IL 61825
Phone (772) 559-5878
Other names 1
- Familia First Health
National Provider Directory
National Provider DirectoryLocations
1401 S State St
Ste B
Champaign, IL 61820
Phone (217) 351-2021
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Fisher, IL
- NPI 1043610744
-
- Chiropractor
- Champaign, IL
- NPI 1295915221
-
- Pediatrics Physician
- Jamestown, NY
- NPI 1669409371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721606400000",
"number": "1871208074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2403",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "61825",
"telephone_number": "772-559-5878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 S STATE ST",
"address_2": "SUITE B",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "61820",
"telephone_number": "217-721-5080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILIA FIRST HEALTH NFP",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-23",
"last_updated": "2024-07-22",
"certification_date": "2023-09-07",
"status": "A",
"authorized_official_last_name": "KEENAN",
"authorized_official_first_name": "CARRIE",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "217-637-1310",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Familia First Health",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.