Kimberly Reule, APN, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209011755 Issued in IL

Practice address

2850 W 95TH Street
Suite 400
Evergreen Park, IL 60805

Phone

(708) 424-7600

Fax

(708) 424-7605

NPI assigned

Oct 28, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kimberly Kenny Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: kreule276375@direct.myadvocateaurora.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alzein Medical LTD

  • Specialist
  • Evergreen Park, IL
  • NPI 1194914093
  NPD (past)

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1881099240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 W 95TH STREET",
            "address_2": "SUITE 400",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "60805",
            "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 STREET",
            "address_2": "SUITE 400",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "60805",
            "telephone_number": "708-424-7600",
            "fax_number": "708-424-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REULE",
        "first_name": "KIMBERLY",
        "credential": "APN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-28",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209011755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2850 W 95th Street",
            "address_2": "Suite 400",
            "city": "Evergreen Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "KENNY",
            "credential": "APN, FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew David Rathbun, NP
• Loris Rayner, M.D.
• Mohammad Abdur Razzaque, M.D.
• Caitlin Reilly, DPT
• Reliable Home Health Care, Incorporated
• Rhicc,LLC
• Richard E Odonnell DO SC
• Mikaela Rico, DO
• Luay Rifai
• Katherine M Riff, MD

• Family Nurse Practitioner in Evergreen Park, IL
• Providers in Evergreen Park, 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 Dec 21, 2021; 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.