Individual provider Active NPI

Kirstin Anne Iglehart, RN

  • Ambulatory Care Registered Nurse
  • Olney, IL
National Provider Identifier
1932950003
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care Registered NurseTaxonomy code 163WP2201X
License
041433706 Issued in IL
Practice address
363 N West St
Olney, IL 62450-1160
Phone
(618) 392-9400
Fax
(618) 392-7225
NPI assigned
Mar 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered Nurse 163WP2201X 041433706 IL Primary

Addresses

Primary practice location

363 N West St
Olney, IL 62450-1160

Mailing address

415 N Elliott St
Olney, IL 62450-3615
Phone (618) 843-4338

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
041433706ILMDAmbulatory Care Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1932950003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N ELLIOTT ST",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624503615",
            "telephone_number": "618-843-4338",
            "fax_number": "618-392-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 N WEST ST",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624501160",
            "telephone_number": "618-392-9400",
            "fax_number": "618-392-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGLEHART",
        "first_name": "KIRSTIN",
        "middle_name": "ANNE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "IL",
            "license": "041433706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olney, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.