Active NPI
Kathryn Lynn Zehr, DNP, RN, FNP-BC
- Family Nurse Practitioner
- Plymouth, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71005587A
- Practice address
- 1919 Lake Ave Ste 110
Plymouth, IN 46563-7830 - Phone
- (574) 948-5290
- Fax
- (574) 948-5495
- NPI assigned
- Jun 17, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71005587A | IN | Primary |
Addresses
Primary practice location
1919 Lake Ave Ste 110
Plymouth, IN 46563-7830
Mailing address
707 Cedar St Ste 405
South Bend, IN 46617-2059
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1102559667 | Other | IN | ANTHEM |
| 201315210 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | katie.zehr@lpm.directbygreenway.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71005587A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Joseph Regional Medical Center, Inc. | Family | Current | Accepting new patients |
| Saint Joseph Regional Medical Center- Plymouth Campus Inc | Family | Current | Accepting new patients |
| Saint Joseph Regional Medical Center, Inc. | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc. | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center- Plymouth Campus Inc | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc. | Past | Accepting new patients | |
| Beacon Medical Group, Inc. | Past | Accepting new patients |
Locations
60101 Bodnar Blvd
Ste 100B
Mishawaka, IN 46544
Phone (574) 335-8500
611 E Douglas Rd
Ste 309
Mishawaka, IN 46545
Phone (574) 335-6232
5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443
1915 Lake Ave
Plymouth, IN 46563
Phone (219) 936-3181
510 W Adams St
Ste 150
Plymouth, IN 46563
Phone (574) 335-3987
1919 Lake Ave
Ste 110
Plymouth, IN 46563
Phone (574) 935-5437
2855 Miller Dr
Ste 117
Plymouth, IN 46563
Phone (219) 464-1001
2855 Miller Dr
Ste 119
Plymouth, IN 46563
Phone (574) 335-5220
707 Cedar St
Ste 405
South Bend, IN 46617
615 N Michigan St
South Bend, IN 46601
Phone (574) 647-1000
615 N Michigan St
Fl 1
South Bend, IN 46601
Phone (574) 647-1100
Interoperability endpoints
- kzehr1141726@direct.trinity-health.org
Organizations & group practices 9
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.
-
- Family Medicine Physician
- Plymouth, IN
- NPI 1538585187
-
- Mobile Mammography Clinic/Center
- South Bend, IN
- NPI 1023844693
-
- Pulmonary Disease Physician
- Plymouth, IN
- NPI 1225082878
-
- Hospitalist Physician
- Plymouth, IN
- NPI 1821402876
-
- Critical Care Medicine (Internal Medicine) Physician
- Mishawaka, IN
- NPI 1699132365
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1841245594
-
- Family Medicine Physician
- Mishawaka, IN
- NPI 1467406074
-
- Orthopaedic Surgery Physician
- South Bend, IN
- NPI 1831149525
-
- Family Medicine Physician
- Mishawaka, IN
- NPI 1780766261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699488000000",
"number": "1144601808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 CEDAR ST STE 405",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466172059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 LAKE AVE STE 110",
"city": "PLYMOUTH",
"state": "IN",
"postal_code": "465637830",
"telephone_number": "574-948-5290",
"fax_number": "574-948-5495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEHR",
"first_name": "KATHRYN",
"middle_name": "LYNN",
"credential": "DNP, RN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-17",
"last_updated": "2023-11-09",
"certification_date": "2023-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71005587A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "1102559667",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201315210",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "katie.zehr@lpm.directbygreenway.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "615 N Michigan St",
"city": "South Bend",
"state": "IN",
"country_code": "US",
"postal_code": "466011033",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Plymouth, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.