Kathy Brock, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN313749 Issued in OH

Practice address

2429 Swngs Corner PT Isab Rd
Bethel, OH 45106-9445

Phone

(513) 748-0874

NPI assigned

Feb 29, 2012

Last updated

Feb 29, 2012By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• My Practitoner Family Practice

  • Family Health Clinical Nurse Specialist
  • Amelia, OH
  • NPI 1053657098
  Authorized official Same address or phone

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1154695641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2429 SWNGS CORNER PT ISAB RD",
            "city": "BETHEL",
            "state": "OH",
            "postal_code": "451069445",
            "telephone_number": "513-748-0874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2429 SWNGS CORNER PT ISAB RD",
            "city": "BETHEL",
            "state": "OH",
            "postal_code": "451069445",
            "telephone_number": "513-748-0874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "KATHY",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RN313749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethel Tate Local School District
• Bethel Urgent Care
• Penny Boyd
• Linda Cooley Brasel, PA-C
• Paige M Bricking
• Brown County General Hospital (Brown County Regional Healthcare-Bethel)
• Teresa Bunch
• Curtis B Everson MD (Bethel Internal Medicine and Pediatrics)
• Angela K. Day, LPN
• Hazel Day, IP

• Family Nurse Practitioner in Bethel, OH
• Providers in Bethel, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.