1. Home
  2. Directory
  3. Illinois
  4. Crystal Lake
  5. Nurse Practitioner
  6. NPI Profile

CARDINALIGHT HEALTH, LLC
NPI 1760956726
Nurse Practitioner - Family in Crystal Lake, IL

Active since January 13, 2019CLIA 14D2172787 · Waiver
380 N TERRA COTTA RD STE E, CRYSTAL LAKE, IL 60012(815) 459-7127(949) 404-6466 Get Directions Write a Review

NPPES record last updated: August 9, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 9, 2020, Feb 7, 2019, Jan 13, 2019 (3 updates tracked since 2019).

About Cardinalight Health, Llc NPPES

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

CARDINALIGHT HEALTH, LLC (NPI 1760956726) is a healthcare organization registered as a family in Crystal Lake, Illinois and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through September 29, 2027, maintains a secondary practice location in Elgin, and lists Sharon Larsen, Owner, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1760956726
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCARDINALIGHT HEALTH, LLC
Location Address380 N TERRA COTTA RD STE ECrystal Lake, IL 60012-1809
Mailing Address70 Esther StCrystal Lake, IL 60014-6140 · (815) 459-7127
Phone(815) 459-7127
Fax(949) 404-6466
Organization SubpartNo
Authorized OfficialSharon LarsenOwner, Nurse Practitioner · (815) 459-7127
Enumeration DateJanuary 13, 2019
Last NPPES UpdateAugust 9, 20203 updates tracked since enumeration
NPPES CertifiedAugust 9, 2020
✔ NPI 1760956726 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
380 N TERRA COTTA RD STE E, Crystal Lake, IL 60012
Open in Google Maps ↗

Secondary Practice Location 1

Location 12350 Royal Blvd Ste 100Elgin, IL 60123-4718 · Phone (847) 695-8100 · Fax (847) 717-4265

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2172787

Cardinalight Health, L L C · Crystal Lake, IL
Active · expires Sep 29, 2027
CLIA Number14D2172787
Laboratory TypeNurse Practitioner Office
Certificate Effective DateSeptember 30, 2025
Certificate Expiration DateSeptember 29, 2027
Laboratory DirectorSharon E. Larsen
Laboratory Phone(815) 459-7127
Laboratory LocationCardinalight Health, L L C760 Mcardle Dr - Ste A, Crystal Lake, IL 60014
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RIETVELD & ASSOCIATES COUNSELING, P.C.
Counselor (Mental Health)
380 N TERRA COTTA RD STE E
CRYSTAL LAKE, IL 60012
McHenry County (815) 265-6561
MRS. SHARON E. LARSEN DNP - APN
Nurse Practitioner (Family)
380 N TERRA COTTA RD STE E
CRYSTAL LAKE, IL 60012
McHenry County (815) 459-7127
MR. ADAM JOSEPH RIETVELD M.A., LCPC
Counselor (Professional)
380 N TERRA COTTA RD STE E
CRYSTAL LAKE, IL 60012
McHenry County (630) 267-9144

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 Cardinalight Health, LLC's NPI number?

The NPI number for Cardinalight Health, LLC is 1760956726. It was assigned to this organization in the NPPES registry on January 13, 2019.

Where is Cardinalight Health, LLC located?

Cardinalight Health, LLC is located at 380 N Terra Cotta Rd Ste E, Crystal Lake, IL 60012. The listed phone number is (815) 459-7127.

What is Cardinalight Health, LLC's specialty?

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

Does Cardinalight Health, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2172787) is associated with this NPI, valid through September 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cardinalight Health, LLC was last updated on August 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.