Micaela Adams-Carr, MSN, RN
Individual provider Active NPI Registered Nurse · Kankakee, IL
NPI 1992476840 · NPPES record last updated Sep 21, 2021
Key facts
- NPI
- 1992476840
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 041452764 (IL)
- Practice address
- 900 W River PL
Kankakee, IL 60901-2932 - Phone
- (815) 933-1711
- NPI assigned
- Sep 21, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041452764 | IL | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041452764 | IL | Yes |
Addresses
Primary practice location
900 W River PL
Kankakee, IL 60901-2932
Mailing address
1404 S 4TH Ave
Kankakee, IL 60901-4931
Phone (815) 549-1379
Other providers in Kankakee, IL
- Alaa El Sayed Abdel Meguid
- K.a. Abraham
- Raju Zachariah Abraham
- Accelerated Rehabilitation Centers, LTD
- Acclaim Home Health Inc.
- James Russell Adams
- Addus Healthcare Inc
- Lori Ann Ader-Steinhauser
- Adonia Health System, Corp
- Olajumoke Adubifa
All providers in Kankakee, IL · Registered Nurse in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.