Individual provider Active NPI

Kathie J York, CNP

  • Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1164490942
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP-06803 Issued in OH
Practice address
4966 Glenway Ave
Suite 3
Cincinnati, OH 45238-3905
Phone
(513) 251-6600
Fax
(513) 251-6700
NPI assigned
Mar 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN-286492 OH
Nurse Practitioner 363L00000X NP-06803 OH Primary

Addresses

Primary practice location

4966 Glenway Ave
Suite 3
Cincinnati, OH 45238-3905

Mailing address

3339 S Woodmont Ave
Cincinnati, OH 45213-2011
Phone (513) 351-1822

Other identifiers 2

IdentifierTypeStateIssuer
2403723MedicaidOH
NP 06803OtherOHOHIO NP LICENSE

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
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN-286492OHMDRegistered Nurse
NP-06803OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular & Thoracic Surgeons, Inc. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6293/brand/1/csg/1/fhir/r4

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330905600000",
    "number": "1164490942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3339 S WOODMONT AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452132011",
            "telephone_number": "513-351-1822",
            "fax_number": "513-251-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4966 GLENWAY AVE",
            "address_2": "SUITE 3",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452383905",
            "telephone_number": "513-251-6600",
            "fax_number": "513-251-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YORK",
        "first_name": "KATHIE",
        "middle_name": "J",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2012-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN-286492",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "NP-06803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2403723",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO NP LICENSE",
            "identifier": "NP 06803",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.