Individual provider Active NPI

Ewa Maria Kinser, ANP

  • Adult Health Nurse Practitioner
  • Glendale Heights, IL
National Provider Identifier
1891063988
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209.008965 Issued in IL
Practice address
701 Winthrop Ave
Ambulatory Care
Glendale Heights, IL 60139-1405
Phone
(630) 545-4935
Fax
(630) 592-2239
NPI assigned
Dec 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 209.008965 IL Primary

Addresses

Primary practice location

701 Winthrop Ave
Ambulatory Care
Glendale Heights, IL 60139-1405

Mailing address

701 Winthrop Ave
Ambulatory Care
Glendale Heights, IL 60139-1405
Phone (630) 545-4935

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
209.008965ILMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1891063988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 WINTHROP AVE",
            "address_2": "AMBULATORY CARE",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601391405",
            "telephone_number": "630-545-4935",
            "fax_number": "630-592-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 WINTHROP AVE",
            "address_2": "AMBULATORY CARE",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601391405",
            "telephone_number": "630-545-4935",
            "fax_number": "630-592-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSER",
        "first_name": "EWA",
        "middle_name": "MARIA",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-05",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209.008965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.