Kajal Pandya Vora, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN247742 Issued in GA

Practice address

800 Broadview Village SQ
Broadview, IL 60155-4887

Phone

(708) 731-5555

NPI assigned

Dec 24, 2013

Last updated

Jan 8, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: kajal.vora@krogerhealth.eclinicaldirectplus.com
• Direct secure messaging: kvora56933@direct.emory.org

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

{
    "created_epoch": "1387843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1982025623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108",
            "telephone_number": "312-523-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BROADVIEW VILLAGE SQ",
            "city": "BROADVIEW",
            "state": "IL",
            "postal_code": "601554887",
            "telephone_number": "708-731-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VORA",
        "first_name": "KAJAL",
        "middle_name": "PANDYA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-24",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209011139",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN247742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa A Ufkes, DPT
• Terence Peter Vant
• Janeth Vazquez-Ortega, LCSW
• Village of Broadview
• Visigene LLC
• Terry Vyfhuis
• Walgreen Co (Walgreens #01449)
• Walgreen Co (Walgreens #05149)
• Walgreen Co. (Walgreens #1449)
• Tiffany Chantal Wallace

• Family Nurse Practitioner in Broadview, IL
• Providers in Broadview, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.