Active NPI
Kemunto Mokora
- Family Nurse Practitioner
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0027696
- Practice address
- 313 Jefferson Ave
Toledo, OH 43604-1004 - Phone
- (419) 720-7883
- NPI assigned
- Jun 15, 2021
- Last updated
- Sep 12, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0027696 | OH | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 4704393156APP22 | MI | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0027696 | OH | |
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | 0027696 | OH |
Addresses
Primary practice location
313 Jefferson Ave
Toledo, OH 43604-1004
Mailing address
313 Jefferson Ave
Toledo, OH 43604-1004
Phone (419) 720-7883
Other practice location 1
220 W Congress St
Detroit, MI 48226-3289
Phone (419) 378-0947
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Toledo College of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1415 Jefferson Ave
Toledo, OH 43604-5827
Phone (419) 214-5700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0027696 | OH | MD | Family Nurse Practitioner |
| 4704393156APP22 | MI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhood Health Association of Toledo, Inc. | Current | Accepting new patients | |
| Neighborhood Health Association of Toledo, Inc | Current | Accepting new patients | |
| Neighborhood Health Association of Toledo, Inc. | Current | Accepting new patients | |
| Neighborhood Health Association of Toledo, Inc. | Current | Accepting new patients | |
| Neighborhood Health Association of Toledo, Inc. | Current | Accepting new patients | |
| Neighborhood Health Association of Toledo, Inc. | Past | Accepting new patients | |
| Neighborhood Health Association of Toledo, Inc. | Past | Accepting new patients | |
| Neighborhood Health Association of Toledo Inc. | Past | Accepting new patients | |
| Neighborhood Health Association of Toledo, Inc. | Past | Accepting new patients | |
| Neighborhood Health Association of Toledo, Inc | Past | Accepting new patients |
Locations
225 N Irwin Rd
Holland, OH 43528
Phone (419) 214-4354
1 Unique Center Rd
Toledo, OH 43609
Phone (419) 241-4230
1020 Varland Ave
Toledo, OH 43605
Phone (419) 691-1429
117 Main St
Toledo, OH 43605
Phone (419) 691-1322
1415 Jefferson Ave
Toledo, OH 43604
Phone (419) 214-5700
1425 Starr Ave
Toledo, OH 43605
Phone (419) 259-4506
313 Jefferson Ave
Toledo, OH 43604
Phone (419) 214-1770
430 Nebraska Ave
Toledo, OH 43604
Phone (419) 671-5400
544 E Woodruff Ave
Toledo, OH 43604
Phone (419) 214-4673
732 South Ave
Toledo, OH 43609
Phone (419) 241-6106
Interoperability endpoints
- kemuntomokora@nha.allscriptsdirect.net
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Nexus Health Care
- Federally Qualified Health Center (FQHC)
- Toledo, OH
- NPI 1861857732
-
dba River East Community Health Center
- Federally Qualified Health Center (FQHC)
- Toledo, OH
- NPI 1063533164
-
dba Zepf Community Mental Health Center
- Federally Qualified Health Center (FQHC)
- Toledo, OH
- NPI 1023462454
-
dba Doc's Remedy Shoppe
- Federally Qualified Health Center (FQHC)
- Toledo, OH
- NPI 1578364246
-
dba Southside Community Health Center
- Federally Qualified Health Center (FQHC)
- Toledo, OH
- NPI 1861513343
-
dba NHA Senior Care Clinic
- Federally Qualified Health Center (FQHC)
- Toledo, OH
- NPI 1427170679
-
dba Navarre Park Family Health Center
- Federally Qualified Health Center (FQHC)
- Toledo, OH
- NPI 1912330689
-
dba Unison Behavioral Health Center
- Non-Surgical Family Planning Clinic/Center
- Toledo, OH
- NPI 1023670023
-
dba Holland Health Care
- Federally Qualified Health Center (FQHC)
- Holland, OH
- NPI 1306225610
-
dba Cordelia Martin Health Center
- Federally Qualified Health Center (FQHC)
- Toledo, OH
- NPI 1518089762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1295303386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 JEFFERSON AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436041004",
"telephone_number": "419-720-7883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 JEFFERSON AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436041004",
"telephone_number": "419-720-7883"
}
],
"practiceLocations": [
{
"address_1": "220 W Congress St",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482263289",
"country_code": "US",
"telephone_number": "419-378-0947",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOKORA",
"first_name": "KEMUNTO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-15",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "0027696",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MI",
"license": "4704393156APP22",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OH",
"license": "0027696",
"primary": false
},
{
"code": "2083A0300X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Addiction Medicine",
"state": "OH",
"license": "0027696",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.