Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kristina Southerland, FNP

Individual provider Nurse Practitioner · NPI 1528600277

Kristina Southerland, FNP is a Nurse Practitioner in Chicago Ridge, Illinois. Qualified in 2019, 7 years ago. Practices with Advocate Health and Hospitals Corporation, a 3,079-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2019
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

10604 SW Hwy Ste 101
Chicago Ridge, IL 60415-2704
Phone: (708) 346-4065
Fax: (708) 423-5799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 17850 Kedzie Ave Ste 2200, Hazel Crest, IL 60429-2056 — (708) 346-4065
  • 24135 S Cicero Ave, Monee, IL 60449-9792 — (815) 549-4484

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209020105 (IL)

Record details

NPI number1528600277
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedOctober 15, 2019
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Advocate Health And Hospitals Corporation — 3079 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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