KRISTIN BUTKUS (NPI# 1407476096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407476096 |
| Entity Type | Individual |
| Full Name | KRISTIN BUTKUS |
| Other Name | KRISTIN RAATZ |
| Credential | APN, FNP-BC |
| Practice Address |
18210 La Grange Rd Tinley Park IL 60487-7722 |
| Practice Telephone | 8889776673 |
| Mailing Telephone | 8889776673 |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209.020079 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
2019034267 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
18210 LA GRANGE RD |
| City | TINLEY PARK |
| State | IL |
| Zip Code | 60487-7722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053319111 | Gene Denning | Pediatrics | 18210 La Grange Rd, Suite 205, Tinley Park, IL 60477-7722 | 2005-07-12 |
| 1245703354 | Shawntell Jackson | Nurse Practitioner | 18210 La Grange Rd, Ste 209, Tinley Park, IL 60487-7728 | 2019-01-10 |
| 1609343763 | Denise Castle | Clinic/Center | 18210 La Grange Rd, Tinley Park, IL 60487-7722 | 2018-10-26 |
| 1538577937 | Connect Hearing, Inc. | Audiologist | 18210 La Grange Rd, Ste. 103, Tinley Park, IL 60487-7722 | 2014-07-29 |
| 1043659071 | Sonia K Virparia | Family Medicine | 18210 La Grange Rd, Suite 200, Tinley Park, IL 60487-7722 | 2013-06-24 |
| 1194071076 | Rachel A Lucas | Physical Therapist | 18210 La Grange Rd, Suite 100, Tinley Park, IL 60487-7722 | 2012-07-30 |
| 1740511328 | Lisa A Daigler | Physical Therapist | 18210 La Grange Rd, Tinley Park, IL 60487-7722 | 2010-01-21 |
| 1801045539 | Tracey Ingram | Audiologist | 18210 La Grange Rd, Ste 103, Tinley Park, IL 60487-7722 | 2008-09-18 |
| 1396916409 | Southtown Allergy and Asthma Care, PC | Clinic/Center | 18210 La Grange Rd, Suite 201, Tinley Park, IL 60487-7722 | 2008-03-17 |
| 1073798617 | Olatokunbo Oluwatoyin Kolawole | Family Medicine | 18210 La Grange Rd, 200, Tinley Park, IL 60487-7722 | 2008-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346850492 | Essential Counseling Group LLC | Social Worker | 17550 W Quail Trail, Tinley Park, IL 60487 | 2020-08-04 |
| 1457972705 | Michelle E Estand | Speech-Language Pathologist | 8200 185th, Tinley Park, Il 60487, Suite A/b, Suite A/b, Suite A/b, Tinley Park, IL 60487 | 2020-04-28 |
| 1659839108 | Jasmine Mccloskey | Behavioral Analyst | Cards, 8505 183rd Suite D, IL 60487 | 2019-03-04 |
| 1669951158 | Christine Marie Cavanaugh | Developmental Therapist | 8384 Dunmore Dr, Tinley Park, IL 60487 | 2018-08-07 |
| 1851810998 | Jeffrey Beck | Counselor | 16243 Haven Ave., Orland Hills, IL 60487 | 2017-09-09 |
| 1730634700 | Liyun Huang | Internal Medicine | 17495 South La Grange Rd, Tinley Park, IL 60487 | 2016-08-19 |
| 1780016162 | Kristin Ann Strausbaugh | Nurse Practitioner | 7300 191st Street, Tinley Park, IL 60487 | 2013-08-07 |
| 1679855597 | Florence Delavega | Pharmacist | 9151 Mansfield Dr, Tinley Park, IL 60487 | 2011-09-16 |
| 1912285685 | Michelle Vansetten | Behavioral Analyst | 8200 W. 185th Street, Suite A/b, Tinley Park, IL 60487 | 2011-07-29 |
| 1417283938 | Haley Ranae Goulson | Physician Assistant | 17495 South Lagrange Road, Tinley Park, IL 60487 | 2009-10-19 |
| Find all providers in zip 60487 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265077184 | Harold Inocencio | Nurse Practitioner | 8644 Ballard Dr, Tinley Park, IL 60487-3097 | 2019-11-14 |
| 1255816369 | Melisa Marcotte | Nurse Practitioner | 9301 Ethyl Ln, Tinley Park, IL 60487-9506 | 2018-09-25 |
| 1962824680 | Caitlyn Pulice | Nurse Practitioner | 7437 164th Pl, Tinley Park, IL 60477-1557 | 2014-01-15 |
| 1598309940 | Jessica Lynne Fiehler | Nurse Practitioner | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2019-10-29 |
| 1043876683 | Cynthia Ann Oneill | Nurse Practitioner | 6850 Centennial Dr, Tinley Park, IL 60477-1653 | 2019-05-18 |
| 1659878635 | Lena Modieh | Nurse Practitioner | 6701 159th St, Tinley Park, IL 60477 | 2018-04-06 |
| 1497186472 | Kimberly Van Wyngarden | Nurse Practitioner | 17495 La Grange Rd, Tinley Park, IL 60487 | 2013-12-02 |
| 1639430655 | Pooja Dave Patel | Nurse Practitioner | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2012-06-06 |
| 1457660961 | Jenetria Thomas Howard | Nurse Practitioner | 7300 191st St, Tinley Park, IL 60487-9361 | 2010-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578523 | Kaitlin Lawson Kalnitz | Nurse Practitioner | 745 Mcclintock Dr Ste 360, Burr Ridge, IL 60527-0875 | 2020-11-06 |
| 1841890290 | Maria Malanych | Nurse Practitioner | 5731 Rosinweed Ln, Naperville, IL 60564-1635 | 2020-10-27 |
| 1639778160 | Roxanna Lee Gunnels | Nurse Practitioner | 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 | 2020-10-26 |
| 1295334811 | Mary Farley | Nurse Practitioner | 7308 Northwood Dr, Wonder Lake, IL 60097-8606 | 2020-10-24 |
| 1164021168 | Stephanie Schuster | Nurse Practitioner | 2665 Prairieview Ln N, Aurora, IL 60502-6343 | 2020-10-21 |
| 1316546641 | Vanessa K Bajaj | Nurse Practitioner | 1123 N Claremont Dr, Palatine, IL 60074-4002 | 2020-10-19 |
| 1003414442 | Gachugu Medical Clinic | Nurse Practitioner | 1 E Ferguson Ave, Wood River, IL 62095-1903 | 2020-10-16 |
| 1477151272 | Yolanda K Bradford | Nurse Practitioner | 2700 S California Ave, Chicago, IL 60608-5108 | 2020-10-14 |
| 1265030019 | Andrea Mclean | Nurse Practitioner | 2500 W Reynolds St # 205, Pontiac, IL 61764-9774 | 2020-10-14 |
| 1558968628 | Timothy Nenoff | Nurse Practitioner | 24722 Lincolnway St, Plainfield, IL 60544-2412 | 2020-10-02 |
| Find all providers with the same taxonomy | ||||
| City | TINLEY PARK |
| Zip Code | 60487 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.