Individual provider Active NPI

Kelli Meckstroth, LPN

  • Licensed Practical Nurse
  • Piqua, OH
National Provider Identifier
1205794849
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
104490 Issued in OH
Practice address
9737 N Hetzler Rd
Piqua, OH 45356-9554
Phone
(937) 214-3988
NPI assigned
Jan 13, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 104490 OH Primary

Addresses

Primary practice location

9737 N Hetzler Rd
Piqua, OH 45356-9554

Mailing address

9737 N Hetzler Rd
Piqua, OH 45356-9556
Phone (937) 214-3988

Other practice location 1

8430 Moffet Rd
Piqua, OH 45356-9320
Phone (937) 418-4810

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

State licenses

LicenseStateTypeSpecialty
104490OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1768262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1205794849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9737 N HETZLER RD",
            "city": "PIQUA",
            "state": "OH",
            "postal_code": "453569556",
            "telephone_number": "937-214-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9737 N HETZLER RD",
            "city": "PIQUA",
            "state": "OH",
            "postal_code": "453569554",
            "telephone_number": "937-214-3988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8430 Moffet Rd",
            "address_purpose": "LOCATION",
            "city": "Piqua",
            "state": "OH",
            "postal_code": "453569320",
            "country_code": "US",
            "telephone_number": "937-418-4810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MECKSTROTH",
        "first_name": "KELLI",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-13",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "104490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piqua, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.