Kimberly Ollom

Primary specialty

Social WorkerTaxonomy code 104100000X

License

I.1200561 Issued in OH

Practice address

1912 Hayes Ave
Sandusky, OH 44870-4736

Phone

(419) 502-2800

NPI assigned

Jun 8, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Health Services of Erie County

  • Federally Qualified Health Center (FQHC)
  • Sandusky, OH
  • NPI 1831343805

  OH

  Medicare reassignment NPD
• Family Health Services of Erie County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Huron, OH
  • NPI 1902662349
  NPD
• Family Health Services of Erie County

  • Federally Qualified Health Center (FQHC)
  • Sandusky, OH
  • NPI 1033937214
  NPD (past)
• Family Health Services of Erie County

  • Federally Qualified Health Center (FQHC)
  • Milan, OH
  • NPI 1124787122
  NPD (past)
• Family Health Services of Erie County

  • Federally Qualified Health Center (FQHC)
  • Sandusky, OH
  • NPI 1164060372
  NPD (past)
• Family Health Services of Erie County

  • Federally Qualified Health Center (FQHC)
  • Sandusky, OH
  • NPI 1184441081
  NPD (past)
• Family Health Services of Erie County

  • Federally Qualified Health Center (FQHC)
  • Huron, OH
  • NPI 1205692753
  NPD (past)
• Family Health Services of Erie County

  • Federally Qualified Health Center (FQHC)
  • Berlin Heights, OH
  • NPI 1235898321
  NPD (past)
• Family Health Services of Erie County

  • Federally Qualified Health Center (FQHC)
  • Sandusky, OH
  • NPI 1265959597
  NPD (past)
• Family Health Services of Erie County

  • Federally Qualified Health Center (FQHC)
  • Sandusky, OH
  • NPI 1306651237
  NPD (past)
• Family Health Services of Erie County

  • Federally Qualified Health Center (FQHC)
  • Collins, OH
  • NPI 1508645649
  NPD (past)
• Family Health Services of Erie County

  • Federally Qualified Health Center (FQHC)
  • Norwalk, OH
  • NPI 1659979219
  NPD (past)

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1033848734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 HAYES AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 HAYES AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704736",
            "telephone_number": "419-502-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLLOM",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.1200561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Carla Georgette Ontko
• Holly Ontko
• Samuel Ontko, RPH
• Bethany Opfer

• All providers in Sandusky, OH
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.