Individual provider Active NPI

Martha Gainer, APN-FNP

  • Family Nurse Practitioner
  • Kankakee, IL
National Provider Identifier
1982797148
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209005696 Issued in IL
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, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
209005696ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chikare Health Services Inc PastSince Dec 10, 2012 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.

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.

Verify at the official NPI Registry.