Active NPI
Kathleen Haney
- Family Nurse Practitioner
- North Ridgeville, OH
National Provider Identifier
1275185779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.025136
- Practice address
- 7150 Case Rd
North Ridgeville, OH 44039-2736 - Phone
- (440) 213-2663
- NPI assigned
- Jul 15, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.025136 | OH | Primary |
Addresses
Primary practice location
7150 Case Rd
North Ridgeville, OH 44039-2736
Mailing address
7150 Case Rd
North Ridgeville, OH 44039-2736
Phone (440) 213-2663
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
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.025136 | OH | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583107200000",
"number": "1275185779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7150 CASE RD",
"city": "NORTH RIDGEVILLE",
"state": "OH",
"postal_code": "440392736",
"telephone_number": "440-213-2663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7150 CASE RD",
"city": "NORTH RIDGEVILLE",
"state": "OH",
"postal_code": "440392736",
"telephone_number": "440-213-2663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANEY",
"first_name": "KATHLEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-15",
"last_updated": "2020-03-02",
"certification_date": "2020-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.025136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Ridgeville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.