Kathleen Pfeifer

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

12450 Issued in OH

Practice address

7730 Jordan Xing
Reynoldsburg, OH 43068-9737

Phone

(614) 633-6123

NPI assigned

Jul 25, 2011

Last updated

Jul 25, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Ohio State University College of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ohio Hospital for Psychiatry LLCGroup PAC ID 3476588245, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ohio Hospital for Psychiatry, LLC

  dba Ohio Hospital for Psychiatry

  • Psychiatric Hospital
  • Columbus, OH
  • NPI 1821186271
  Medicare reassignment Care Compare group
• Access Ohio, LLC

  • Community/Behavioral Health Agency
  • Columbus, OH
  • NPI 1689763740
  Medicare reassignment NPD
• Sun Behavioral Columbus, LLC

  dba SUN Behavioral Columbus

  • Psychiatric Hospital
  • Columbus, OH
  • NPI 1477914943
  Medicare reassignment NPD
• Access Ohio, LLC

  dba Access Ohio

  • Substance Abuse Rehabilitation Facility
  • Dayton, OH
  • NPI 1194179150
  NPD

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311552000000",
    "number": "1104104181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7730 JORDAN XING",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430689737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7730 JORDAN XING",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430689737",
            "telephone_number": "614-633-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFEIFER",
        "first_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-25",
        "last_updated": "2011-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "12450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kary Sue Perkovic, RN
• Julie A Peters, H.A.S.
• Emma Grace Peterson
• Teresa Petkac
• Whitney Pettus
• Phillip S. Greene, M.D., Inc.
• Phillip's Pharmacy on Brice (Phillip's Pharmacy on Brice LLC)
• Laura D Phillips-Chou, MD
• Amanda Marie Phillips, APRN, FNP-C
• Andrea Pierre

• Psychiatric/Mental Health Nurse Practitioner in Reynoldsburg, OH
• Providers in Reynoldsburg, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.