Individual provider Active NPI

Katherine L. Montanaro, CNP

  • Nurse Practitioner
  • Granville, OH
National Provider Identifier
1083763627
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP-09065 Issued in OH
Practice address
590 Newark Granville Rd
Granville, OH 43023-1436
Phone
(888) 531-7444
Fax
(614) 867-9889
NPI assigned
Jan 10, 2007
Last updated
Jul 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP-09065 OH Primary

Addresses

Primary practice location

590 Newark Granville Rd
Granville, OH 43023-1436

Mailing address

PO Box 378
Granville, OH 43023-0378
Phone (888) 531-7444

Other identifiers 1

IdentifierTypeStateIssuer
2727580MedicaidOH

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
I20070130000002 OH Practitioner - Nurse Practitioner 2466453725 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pai Participant 1 LLCGroup PAC ID 8123351954, 174 clinicians
Central Ohio Geriatrics, LLCGroup PAC ID 7517015373, 8 clinicians

Practice addresses (Care Compare)

10272 Sawmill Pkwy
Powell, OH 43065-9189
Phone (614) 356-9810

230 Cherry St
Chillicothe, OH 45601-2301
Phone (740) 773-6470

26 N Union St
Delaware, OH 43015-1922
Phone (740) 362-9641

4590 Knightsbridge Blvd
Columbus, OH 43214-4327
Phone (614) 451-6793

5055 Thompson Rd
Columbus, OH 43230-6336
Phone (614) 855-3700

579 W 5TH Ave
Columbus, OH 43201-3174
Phone (614) 721-2035

6470 Post Rd
Dublin, OH 43016-3267
Phone (614) 602-6749

920 Sharon Valley Rd
Newark, OH 43055-7925
Phone (740) 336-7333

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP-09065OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pai Participant 1 LLC Nurse Practitioner CurrentSince Sep 3, 2024 Accepting new patients
Adena Medical Group LLC Past Accepting new patients

Locations

230 Cherry St
Chillicothe, OH 45601
Phone (740) 773-6470

Organizations & group practices 3

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 4

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1083763627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430230378",
            "telephone_number": "888-531-7444",
            "fax_number": "614-867-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 NEWARK GRANVILLE RD",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430231436",
            "telephone_number": "888-531-7444",
            "fax_number": "614-867-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTANARO",
        "first_name": "KATHERINE",
        "middle_name": "L.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "NP-09065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2727580",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Granville, OH

Sources for this page

Verify at the official NPI Registry.