KATRINA LEE BASIC FNP-C EMT-P NPI 1043939747

NPI Information

  • NPI: 1043939747
  • Provider Name: KATRINA LEE BASIC, FNP-C, EMT-P
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11009 S SAINT LOUIS AVE
    CHICAGO, IL
    ZIP 60655
  • Phone: (773) 710-2569

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NPI Details

Katrina Lee Basic, FNP-C, EMT-P is a family nurse practitioner in Chicago, IL. Katrina Lee Basic, FNP-C, EMT-P NPI is 1043939747. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11009 S SAINT LOUIS AVE
CHICAGO, IL
ZIP 60655-321
Phone: (773) 710-2569

The NPI 1043939747 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/25/2022 and was last updated on 8/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1146L00000XEmergency Medical Technician, Paramedic000471490ILLINOISNo
2163W00000XRegistered Nurse41.420072ILLINOISNo
3363LF0000XNurse PractitionerFamily209.025190ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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