Individual provider Active NPI

Kaitlin Guzzo

  • Nurse Practitioner
  • Dublin, OH
National Provider Identifier
1104386648
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
024708 Issued in OH
Practice address
6790 Perimeter Dr Ste 200
Dublin, OH 43016-8068
Phone
(614) 602-4088
NPI assigned
Mar 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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 024708 OH Primary

Addresses

Primary practice location

6790 Perimeter Dr Ste 200
Dublin, OH 43016-8068

Mailing address

6790 Perimeter Dr Ste 200
Dublin, OH 43016-8068
Phone (614) 602-4088

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
I20220812002855 OH Practitioner - Nurse Practitioner 2769865492 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024708OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emily Program P C CurrentSince Jun 27, 2022 Accepting new patients

Locations

2265 Como Ave
Saint Paul, MN 55108

8001 Ravines Edge Ct
Columbus, OH 43235
Phone (614) 896-8270

8001 Ravines Edge Ct
Ste 201
Columbus, OH 43235
Phone (614) 896-8222

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1104386648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6790 PERIMETER DR STE 200",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168068",
            "telephone_number": "614-602-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6790 PERIMETER DR STE 200",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168068",
            "telephone_number": "614-602-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZZO",
        "first_name": "KAITLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "024708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.