Individual provider Active NPI

Adeline Jane Kirkhart

  • Homemaker
  • Georgetown, OH
National Provider Identifier
1083426811
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
License
VA199881 Issued in OH
Practice address
202 Grandin Dr
Georgetown, OH 45121-1058
Phone
(937) 515-0118
NPI assigned
Jan 20, 2025
Last updated
Jan 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X VA199881 OH Primary

Addresses

Primary practice location

202 Grandin Dr
Georgetown, OH 45121-1058

Mailing address

202 Grandin Dr
Georgetown, OH 45121-1058
Phone (937) 515-0118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
VA199881OHMDHomemaker

NPI Registry JSON

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1083426811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 GRANDIN DR",
            "city": "GEORGETOWN",
            "state": "OH",
            "postal_code": "451211058",
            "telephone_number": "937-515-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 GRANDIN DR",
            "city": "GEORGETOWN",
            "state": "OH",
            "postal_code": "451211058",
            "telephone_number": "937-515-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKHART",
        "first_name": "ADELINE",
        "middle_name": "JANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "OH",
            "license": "VA199881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.