Individual provider Active NPI

Kelly Michelle Parsons, ARNP

  • Gerontology Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1003826991
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
0925 Issued in OH
Practice address
2450 Kipling Ave
Suite 108
Cincinnati, OH 45239-6600
Phone
(513) 853-5393
Fax
(513) 853-5394
NPI assigned
Aug 9, 2006
Last updated
Aug 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2351P KY
Adult Health Nurse Practitioner 363LA2200X 2351P KY
Gerontology Nurse Practitioner 363LG0600X 0925 OH Primary

Addresses

Primary practice location

2450 Kipling Ave
Suite 108
Cincinnati, OH 45239-6600

Mailing address

2450 Kipling Ave
Suite 108
Cincinnati, OH 45239-6600
Phone (513) 853-5393

Other identifiers 2

IdentifierTypeStateIssuer
2924072MedicaidOH
78003134MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260518000799 KY Order and Referring Only - Nurse Practitioner 4688622301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2351PKYMDAdult Health Nurse Practitioner
0925OHMDGerontology Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1003826991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 KIPLING AVE",
            "address_2": "SUITE 108",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452396600",
            "telephone_number": "513-853-5393",
            "fax_number": "513-853-5394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 KIPLING AVE",
            "address_2": "SUITE 108",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452396600",
            "telephone_number": "513-853-5393",
            "fax_number": "513-853-5394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSONS",
        "first_name": "KELLY",
        "middle_name": "MICHELLE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "2351P",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "2351P",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "0925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2924072",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78003134",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.