Katelyn Autumn Aldred

Key facts

NPI

1073484960

Entity type

Individual (NPI type 1)

Primary specialty

Case Manager/Care Coordinator 171M00000X

Practice address

809 Coshocton Ave Ste I
Mount Vernon, OH 43050-1900

Phone

(866) 534-2639

Fax

(800) 480-7578

NPI assigned

Sep 15, 2025

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 17, 2026.

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1073484960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 MARTINSBURG RD",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430559744",
            "telephone_number": "309-371-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 COSHOCTON AVE STE I",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430501900",
            "telephone_number": "866-534-2639",
            "fax_number": "800-480-7578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDRED",
        "first_name": "KATELYN",
        "middle_name": "AUTUMN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-15",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0146268",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, OH

• Christina Adelman
• Karla Renee Adu, CNP
• Alan a Newman
• Alcohol & Drug Freedom Center
• Alcohol and Drug Freedom Center of Knox County
• Stacey R Aldridge
• Molly Arlene Alexander, MBA, MM, LSW
• All Care Homecare LLC
• Koryn Makenna Allen
• Als Mount Vernon Inc

All providers in Mount Vernon, OH · Case Manager/Care Coordinator in Ohio