Active NPI
Kimberly Fain, DBA
- Home Health Certified Respiratory Therapist
- Cuyahoga Falls, OH
National Provider Identifier
1154967222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Certified Respiratory Therapist
- License
- 7718936
- Practice address
- 2120 Falls Ave Uppr
Cuyahoga Falls, OH 44223-1973 - Phone
- (440) 810-0670
- NPI assigned
- Nov 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Certified Respiratory Therapist | 2278H0200X | 7718936 | OH | Primary |
Addresses
Primary practice location
2120 Falls Ave Uppr
Cuyahoga Falls, OH 44223-1973
Mailing address
2120 Falls Ave Uppr
Cuyahoga Falls, OH 44223-1973
Phone (440) 810-0670
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0378480 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7718936 | OH | MD | Home Health Certified Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574380800000",
"number": "1154967222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 FALLS AVE UPPR",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "442231973",
"telephone_number": "440-810-0670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 FALLS AVE UPPR",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "442231973",
"telephone_number": "440-810-0670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIN",
"first_name": "KIMBERLY",
"name_prefix": "Dr.",
"credential": "DBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-22",
"last_updated": "2019-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "2278H0200X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified, Home Health",
"state": "OH",
"license": "7718936",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0378480",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cuyahoga Falls, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.