IndividualActive
Kimberly Souder, FNP
NPI 1811222318 · Family Nurse Practitioner · Oak Lawn, IL
Provider details
- NPI number
- 1811222318
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 209.007767 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4440 W 95th St
Oak Lawn, IL 60453-2600
Phone: (708) 684-1363
Street-level locationGet directions
Mailing address
526 Old Hickory Rd
New Lenox, IL 60451-1651
Registry dates
- Enumerated
- 2009-10-16
- Last updated
- 2021-11-30
- Certified
- 2021-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.