Theresa Kern, MS,RN, AGCNS-BC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

17591 Issued in OH

Practice address

324 Wilmington Ave
Dayton, OH 45420-1890

Phone

(937) 256-4490

Fax

(937) 258-5478

NPI assigned

Dec 3, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Registered Nurse

State licenses

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1033516240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HILLTOP AVE",
            "city": "OAKWOOD",
            "state": "OH",
            "postal_code": "454191517",
            "telephone_number": "937-293-5662",
            "fax_number": "937-258-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 WILMINGTON AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454201890",
            "telephone_number": "937-256-4490",
            "fax_number": "937-258-5478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERN",
        "first_name": "THERESA",
        "credential": "MS,RN, AGCNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-03",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "OH",
            "license": "17591",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "17591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Kerby, DPT
• Diojenia Levon Kerley, STNA
• Linda R Kerley, STNA
• Shulonda C Kerley
• Susan Marie Kern, CNP
• Lindsey Kerns
• Colby Kerr
• Adelle Lucrecia Kesler, FNP-C
• Allyson Kessel
• Michael Ryan Kessel, M.D.

• Geriatric Medicine (Family Medicine) Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Geriatric Medicine (Family Medicine) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.