Healthcare Provider Details

I. General information

NPI: 1194991315
Provider Name (Legal Business Name): KARI ANN COY FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KARI ANN SIMPSON FNP-BC

II. Dates (important events)

Enumeration Date: 05/07/2008
Last Update Date: 08/02/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9551 171ST ST
TINLEY PARK IL
60487-6109
US

IV. Provider business mailing address

607 SHELBY ST
DETROIT MI
48226-3268
US

V. Phone/Fax

Practice location:
  • Phone: 708-369-4077
  • Fax:
Mailing address:
  • Phone: 617-874-5208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number377001638
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number277001691
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: