Active NPI
Martha Gainer, APN-FNP
- Family Nurse Practitioner
- Kankakee, IL
National Provider Identifier
1982797148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209005696
- Practice address
- 1 Dearborn SQ
Suite 600
Kankakee, IL 60901-3942 - Phone
- (815) 304-5106
- Fax
- (815) 936-9477
- NPI assigned
- Oct 2, 2006
- Last updated
- Mar 13, 2013
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209005696 | IL | Primary |
Addresses
Primary practice location
1 Dearborn SQ
Suite 600
Kankakee, IL 60901-3942
Mailing address
1 Dearborn SQ
Suite 600
Kankakee, IL 60901-3942
Phone (815) 304-5106
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209005696 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chikare Health Services Inc | Past | Accepting new patients | |
| Chikare Health System PC | Past | Accepting new patients | |
| Kankakee Urgent Care | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Kankakee, IL
- NPI 1841519691
-
dba Immanuel Family Health Center
- Primary Care Clinic/Center
- East Chicago, IN
- NPI 1043375934
-
- Federally Qualified Health Center (FQHC)
- East Chicago, IN
- NPI 1285298067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363132800000",
"number": "1982797148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 DEARBORN SQ",
"address_2": "SUITE 600",
"city": "KANKAKEE",
"state": "IL",
"postal_code": "609013942",
"telephone_number": "815-304-5106",
"fax_number": "815-936-9477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 DEARBORN SQ",
"address_2": "SUITE 600",
"city": "KANKAKEE",
"state": "IL",
"postal_code": "609013942",
"telephone_number": "815-304-5106",
"fax_number": "815-936-9477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAINER",
"first_name": "MARTHA",
"credential": "APN-FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2013-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209005696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kankakee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.