Kimberly Ann Dahodwala, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

APRN.CNP.021203 Issued in OH

Practice address

1810 W 25TH St Unit 1
Cleveland, OH 44113-3152

Phone

(216) 685-9975

NPI assigned

Jul 12, 2017

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)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Allied Health & Chiropractic LLC

  • Chiropractor
  • Cleveland, OH
  • NPI 1679885404

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499817600000",
    "number": "1194247148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 KENSINGTON RD",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441161509",
            "telephone_number": "440-315-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 W 25TH ST UNIT 1",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441133152",
            "telephone_number": "216-685-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHODWALA",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2017-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "APRN.CNP.021203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna L Dahl-Grove, MD
• Elizabeth Mary Dahl, PHARMD
• Kristen Dahlhausen
• Ayman A Dahman, M.D.
• Beverly B Dahms, MD
• Ty Dahodwala, D.C.
• Jean Dai
• Erin Michiko Daigle, FNP
• Alison Dailey, PHARMD
• Mitchell T Dailey

• Adult Health Nurse Practitioner in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Adult Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; 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.