Active NPI
Kerri Keller Baldwin, APN
- Pediatric Nurse Practitioner
- Chicago, IL
National Provider Identifier
1922042100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 209-004821
- Practice address
- 2300 Children's Plaza
Box 63
Chicago, IL 60614-3394 - Phone
- (773) 975-8813
- Fax
- (773) 880-4588
- NPI assigned
- Jun 16, 2006
- Last updated
- Feb 19, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 209-004821 | IL | Primary |
Addresses
Primary practice location
2300 Children's Plaza
Box 63
Chicago, IL 60614-3394
Mailing address
111 E Chestnut
55J
Chicago, IL 60611
Phone (773) 975-8813
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209-004821 | IL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lurie Children's Medical Group, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203379200000",
"number": "1922042100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 E CHESTNUT",
"address_2": "55J",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60611",
"telephone_number": "773-975-8813",
"fax_number": "773-880-4588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 CHILDREN'S PLAZA",
"address_2": "BOX 63",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606143394",
"telephone_number": "773-975-8813",
"fax_number": "773-880-4588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALDWIN",
"first_name": "KERRI",
"middle_name": "KELLER",
"name_prefix": "Mrs.",
"credential": "APN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-16",
"last_updated": "2008-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "IL",
"license": "209-004821",
"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 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.