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KIMBERLY M OTTO APN
NPI 1649672668
Nurse Practitioner - Family in Naperville, IL

Active since September 22, 2014
1964 SPRINGBROOK SQUARE DR STE 108, NAPERVILLE, IL 60564(630) 942-6902(630) 946-2566 Get Directions Write a Review

NPPES record last updated: May 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 26, 2021, Oct 26, 2017 (2 updates tracked since 2017).

About Kimberly M Otto Apn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY M OTTO APN (NPI 1649672668) is an individual family provider in Naperville, Illinois, licensed in Illinois (209.011816) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1649672668
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY M OTTOCredential: APN
Location Address1964 SPRINGBROOK SQUARE DR STE 108Naperville, IL 60564-5955
Mailing Address1860 Payshere CircleChicago, IL 60674-0001 · (630) 469-9200
Phone(630) 942-6902
Fax(630) 946-2566
Sole ProprietorNo
Enumeration DateSeptember 22, 2014
Last NPPES UpdateMay 26, 20212 updates tracked since enumeration
NPPES CertifiedMay 26, 2021
✔ NPI 1649672668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209.011816
1964 SPRINGBROOK SQUARE DR STE 108, Naperville, IL 60564
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Otto's NPI number?

The NPI number for Kimberly Otto is 1649672668. It was assigned to this individual provider in the NPPES registry on September 22, 2014.

Where is Kimberly Otto located?

Kimberly Otto practices at 1964 Springbrook Square Dr Ste 108, Naperville, IL 60564. The listed phone number is (630) 942-6902.

What is Kimberly Otto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kimberly Otto was last updated on May 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.