Nurse Practitioner, Family
KATRINA BASIC FNP-C, EMT-P
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1043939747 · enumerated 2022-08-25 · record updated 2026-04-07. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address PO BOX 2147, FORT MYERS, FL, 33902-2147 (239) 343-1614 Fax (239) 343-3695 Google Maps Apple Maps OpenStreetMap
- Practice location 11009 S SAINT LOUIS AVE, CHICAGO, IL, 60655-3321 (773) 710-2569 Google Maps Apple Maps OpenStreetMap
Specialties
- Registered Nurse 163W00000X · License 41.420072 IL
- Emergency Medical Technician, Paramedic 146L00000X · License 000471490 IL
- Nurse Practitioner, Family 363LF0000X · Primary · License 209.025190 IL
In this directory
Locations and evidence
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Practice location
CHICAGO, IL, 606553321
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.