Individual provider Active NPI

Kimberly Ann Challand

  • Technician/Technologist
  • Sycamore, IL
National Provider Identifier
1932358819
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Technician/TechnologistTaxonomy code 156F00000X
License
TYPE 10 Issued in IL
Practice address
245 W Exchange St
Sycamore, IL 60178-1495
Phone
(815) 895-9227
NPI assigned
Sep 16, 2008
Last updated
Sep 16, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Technician/Technologist 156F00000X TYPE 10 IL Primary

Addresses

Primary practice location

245 W Exchange St
Sycamore, IL 60178-1495

Mailing address

112 Carolee LN
Morrison, IL 61270-2949
Phone (815) 772-6149

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
TYPE 10ILMDTechnician/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Illinois Association Past Accepting new patients

Organizations & group practices 1

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": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221523200000",
    "number": "1932358819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 CAROLEE LN",
            "city": "MORRISON",
            "state": "IL",
            "postal_code": "612702949",
            "telephone_number": "815-772-6149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 W EXCHANGE ST",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601781495",
            "telephone_number": "815-895-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALLAND",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-16",
        "last_updated": "2008-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": "IL",
            "license": "TYPE 10",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sycamore, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.