Active NPI
Caitlyn Coburn, CRNA
- Certified Registered Nurse Anesthetist
- Kankakee, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 135212
- Practice address
- 350 N Wall St
Kankakee, IL 60901-2901 - Phone
- (815) 933-1671
- NPI assigned
- Apr 17, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041.484462 | IL | |
| Certified Registered Nurse Anesthetist | 367500000X | 101.0135810 | VT | |
| Certified Registered Nurse Anesthetist | 367500000X | 135212 | IL | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 070631-23 | NH |
Addresses
Primary practice location
350 N Wall St
Kankakee, IL 60901-2901
Mailing address
1605 E Central Rd Unit 121C
Arlington Heights, IL 60005-3339
Phone (603) 557-3895
Other practice location 1
1 Medical Center Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, NH, OR, ID
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Ctr Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000
1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-2152
9205 SW Barnes Rd
Portland, OR 97225-6603
Phone (503) 216-1234
Hospital & facility affiliations
- Mary Hitchcock Memorial Hospital
- Saint Alphonsus Regional Medical Center
- Providence St Vincent Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.484462 | IL | MD | Registered Nurse |
| 135212 | IL | MD | Certified Registered Nurse Anesthetist |
| 070631-23 | NH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Alphonsus Professional Medical Services LLC | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Washington - TCS | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Associates Northwest LLC | Current | Accepting new patients | |
| Northstar Anesthesia of Illinois, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Clinical Colleagues Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Clinical Colleagues Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Novus Illinois Service Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St Alphonsus Professional Medical Services LLC | Current | Accepting new patients | |
| North American Partners in Anesthesia (Illinois), LLC | Current | Accepting new patients | |
| Apollo Medical Group of Wentworth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
6712 N Convent St
Bourbonnais, IL 60914
Phone (815) 348-9500
645 S Central Ave
Chicago, IL 60644
Phone (773) 626-4300
695 N Kellogg St
Galesburg, IL 61401
Phone (309) 343-8131
350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500
1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160
6 Works Way
Somersworth, NH 03878
Phone (603) 285-9273
68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107
2700 SE Stratus Ave
McMinnville, OR 97128
Phone (503) 435-1200
120 NW 14th Ave
Ste 200
Portland, OR 97209
Phone (503) 771-1883
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
Organizations & group practices 12
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.
-
- Anesthesiology Physician
- Portland, OR
- NPI 1649816380
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Boise, ID
- NPI 1386677524
-
- Internal Medicine Physician
- Lebanon, NH
- NPI 1548210198
-
- Anesthesiology Physician
- Galesburg, IL
- NPI 1316399967
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Oak Park, IL
- NPI 1699032524
-
- Anesthesiology Physician
- Kankakee, IL
- NPI 1295491744
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Milwaukie, OR
- NPI 1548281751
-
- Anesthesiology Physician
- Somersworth, NH
- NPI 1831748185
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1962822395
IL, Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
-
- Anesthesiology Physician
- Van Wert, OH
- NPI 1992725766
Nurse Anesthetist, Certified Registered
-
- Trauma Surgery Physician
- Boise, ID
- NPI 1336166883
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1629788237
-
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
-
- General Acute Care Hospital
- Boise, ID
- NPI 1184155426
-
- General Acute Care Hospital
- Boise, ID
- NPI 1457414948
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
-
- Family Medicine Physician
- Caldwell, ID
- NPI 1861676298
Hospital
-
- General Acute Care Hospital
- Boise, ID
- NPI 1992736649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1891376265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 E CENTRAL RD UNIT 121C",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600053339",
"telephone_number": "603-557-3895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 N WALL ST",
"city": "KANKAKEE",
"state": "IL",
"postal_code": "609012901",
"telephone_number": "815-933-1671"
}
],
"practiceLocations": [
{
"address_1": "1 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "NH",
"postal_code": "037561000",
"country_code": "US",
"telephone_number": "603-650-5000",
"fax_number": "603-640-1228",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COBURN",
"first_name": "CAITLYN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-17",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041.484462",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VT",
"license": "101.0135810",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "135212",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NH",
"license": "070631-23",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kankakee, IL
- Citadel Care Center-Kankakee, LLC
- City of Kankakee
- Akesha Chemein Clark-Roberts, CNA
- Ashley Noel Joyles Clark, MD
- Emily Claire Clyden, MHS, CCC-SLP/L
- Karen J. Cohs-Murray, CRNA
- Jesse Coleman, DO
- Shirley Kathleen Comer, ACNS-BC, APN
- Community Alternatives Illinois, Inc.
- Community Alternatives Illinois, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.