Active NPI
Kimberly Lisa Valachovic, APN
- Oncology Clinical Nurse Specialist
- Chicago, IL
National Provider Identifier
1902166754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Clinical Nurse Specialist
- License
- 209.009521
- Practice address
- 676 N Saint Clair St
Suite 850
Chicago, IL 60611-2927 - Phone
- (708) 860-1819
- NPI assigned
- May 25, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oncology Clinical Nurse Specialist | 364SX0200X | 209.009521 | IL | Primary |
Addresses
Primary practice location
676 N Saint Clair St
Suite 850
Chicago, IL 60611-2927
Mailing address
676 N Saint Clair St
Suite 850
Chicago, IL 60611-2927
Phone (708) 860-1819
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)
- Enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.009521 | IL | MD | Oncology Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361404800000",
"number": "1902166754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "676 N SAINT CLAIR ST",
"address_2": "SUITE 850",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112927",
"telephone_number": "708-860-1819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "676 N SAINT CLAIR ST",
"address_2": "SUITE 850",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112927",
"telephone_number": "708-860-1819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALACHOVIC",
"first_name": "KIMBERLY",
"middle_name": "LISA",
"name_prefix": "Mrs.",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-25",
"last_updated": "2013-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "364SX0200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Oncology",
"state": "IL",
"license": "209.009521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.