Individual provider Active NPI

Katherine Anne Detling, CNP

  • Family Nurse Practitioner
  • Saint Clairsville, OH
National Provider Identifier
1134569056
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.14668 Issued in OH
Practice address
306 W Main St Ste 4
Saint Clairsville, OH 43950-8801
Phone
(740) 633-4127
Fax
(740) 633-4185
NPI assigned
Jun 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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.14668 OH Primary

Addresses

Primary practice location

306 W Main St Ste 4
Saint Clairsville, OH 43950-8801

Mailing address

380 Summit Avenue
Mso Physician Billoing
Steubenville, OH 43952-2667
Phone (740) 283-7597

Other identifiers 1

IdentifierTypeStateIssuer
0086576MedicaidOH

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
I20130919000604 OH Practitioner - Nurse Practitioner 7214171933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity WestGroup PAC ID 5496648875, 145 clinicians

Practice addresses (Care Compare)

107 Main St
Wintersville, OH 43953-3733
Phone (740) 264-1656

306 W Main St
Suite 4
Saint Clairsville, OH 43950-8801
Phone (740) 633-4127

Hospital & facility affiliations

National Provider Directory

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

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.

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": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1134569056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 SUMMIT AVENUE",
            "address_2": "MSO PHYSICIAN BILLOING",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522667",
            "telephone_number": "740-283-7597",
            "fax_number": "740-283-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W MAIN ST STE 4",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439508801",
            "telephone_number": "740-633-4127",
            "fax_number": "740-633-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETLING",
        "first_name": "KATHERINE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.14668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0086576",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clairsville, OH

Sources for this page

Verify at the official NPI Registry.