Taylor Layne Kettering, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0030808 Issued in OH

Practice address

100 Lillian Gish Blvd SW Ste 201
Massillon, OH 44647-6500

Phone

(330) 809-0460

Fax

(330) 809-0560

NPI assigned

May 6, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Taylor Layne Leboeuf Former name

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nicholas E Sherock Jr DO LLCGroup PAC ID 1759574015, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aultman Hospital Hospital, Canton, OH, CCN 360084

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: taylor.kettering@ohe016.digichart.direct-ci.com

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.

• Nicholas E Sherock Jr DO LLC

  • Obstetrics & Gynecology Physician
  • Orrville, OH
  • NPI 1700193810
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Aultman Hospital

  • General Acute Care Hospital
  • Canton, OH
  • NPI 1356366991
  Care Compare affiliation

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1255077913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LILLIAN GISH BLVD SW STE 201",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446476500",
            "telephone_number": "330-809-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LILLIAN GISH BLVD SW STE 201",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446476500",
            "telephone_number": "330-809-0460",
            "fax_number": "330-809-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETTERING",
        "first_name": "TAYLOR",
        "middle_name": "LAYNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0030808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "LEBOEUF",
            "middle_name": "LAYNE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tracy Kendall, RPH
• Kelly Kennard, LPC, MFT
• Dustin Keith Kern, LICDC, LSW
• Theresa M Kesic, LSW, CDCA
• Hallie Kester
• Delishia Dene Keys
• Julia Elizabeth Kiba, LPN
• Samantha Kibler, PA
• Kicos Wellness Center, Inc.
• Connie Marie Kiefer

• Family Nurse Practitioner in Massillon, OH
• Providers in Massillon, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.