Individual provider Active NPI

Kimberly McCann

  • Family Nurse Practitioner
  • Boardman, OH
National Provider Identifier
1134049497
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0042654 Issued in OH
Practice address
1280 Boardman Canfield Rd Ste 3
Boardman, OH 44512-4073
Phone
(330) 726-1900
Fax
(330) 726-0843
NPI assigned
Jul 17, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0042654 OH Primary

Addresses

Primary practice location

1280 Boardman Canfield Rd Ste 3
Boardman, OH 44512-4073

Mailing address

1280 Boardman Canfield Rd Ste 3
Boardman, OH 44512-4073
Phone (330) 726-1900

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reema Taneja, M.D., Inc. CurrentSince Jul 17, 2026 Accepting new patients

Locations

1280 Boardman Canfield Rd
Ste 3
Youngstown, OH 44512
Phone (330) 726-1900

Organizations & group practices 1

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": "1784246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1134049497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 BOARDMAN CANFIELD RD STE 3",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124073",
            "telephone_number": "330-726-1900",
            "fax_number": "330-726-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 BOARDMAN CANFIELD RD STE 3",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124073",
            "telephone_number": "330-726-1900",
            "fax_number": "330-726-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-17",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0042654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

Verify at the official NPI Registry.