Individual provider Active NPI

Kelly Diane Florence, FNP

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1073174512
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0037859 Issued in OH
Practice address
9775 Colerain Ave
Cincinnati, OH 45251-1442
Phone
(513) 853-9700
Fax
(513) 852-8971
NPI assigned
Jun 25, 2019
Last updated
Apr 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0037859 OH Primary

Addresses

Primary practice location

9775 Colerain Ave
Cincinnati, OH 45251-1442

Mailing address

9775 Colerain Ave
Cincinnati, OH 45251-1442
Phone (513) 853-9700

Other practice location 1

824 Main St
Milford, OH 45150-1726
Phone (513) 774-5606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20250123000527 OH Practitioner - Nurse Practitioner 9739418922 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Trihealth U LLCGroup PAC ID 5799110953, 31 clinicians

Practice addresses (Care Compare)

9775 Colerain Ave
Cincinnati, OH 45251-1442
Phone (513) 853-9700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0037859OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth U LLC CurrentSince May 5, 2025 Accepting new patients
The Little Clinic of Ohio LLC Family CurrentSince Jan 22, 2025 Accepting new patients

Locations

9775 Colerain Ave
Cincinnati, OH 45251
Phone (513) 385-6900

199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814

824 Main St
Milford, OH 45150
Phone (513) 774-5606

12110 Lebanon Rd
Sharonville, OH 45241
Phone (513) 853-9700

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 2

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1073174512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9775 COLERAIN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452511442",
            "telephone_number": "513-853-9700",
            "fax_number": "513-852-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9775 COLERAIN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452511442",
            "telephone_number": "513-853-9700",
            "fax_number": "513-852-8971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "824 Main St",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "OH",
            "postal_code": "451501726",
            "country_code": "US",
            "telephone_number": "513-774-5606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORENCE",
        "first_name": "KELLY",
        "middle_name": "DIANE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0037859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.