Kim Gethers, IO WAIVER PROVIDER

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

3936 E 154TH St
Cleveland, OH 44128-1118

Phone

(216) 640-0308

NPI assigned

Dec 31, 2020

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

Other names 1

• Miss Kim Gethers Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1609372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1194312512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3936 E 154TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441281118",
            "telephone_number": "216-640-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3936 E 154TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441281118",
            "telephone_number": "216-640-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GETHERS",
        "first_name": "KIM",
        "credential": "IO WAIVER PROVIDER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-31",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Cleveland",
            "affiliation": "N",
            "endpointDescription": "Same as primary address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "3936 E 154th St",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441281118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "GETHERS",
            "prefix": "MISS",
            "credential": "IO WAIVER PROVIDER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patrick Gesing, RPH, PHARMD
• Sheila L Gesing, CNP
• Cody Gessel, DPT
• Get You There LLC
• Kieori Gethers, MSW
• Gethope Home Care Agency, LLC
• Patrick J Getty
• Andrew Getz
• Mariya Atanassova Geube, MD
• Eric Jakob Geyer, LPCC

• Community Health Worker in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Community Health Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; 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.