Individual provider Active NPI

Caitlin Kalman, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Youngstown, OH
National Provider Identifier
1295373413
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
025516 Issued in OH
Practice address
807 Southwestern Run
Youngstown, OH 44514-3688
Phone
(330) 729-0059
NPI assigned
Dec 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 025516 OH Primary

Addresses

Primary practice location

807 Southwestern Run
Youngstown, OH 44514-3688

Mailing address

442 Pamela CT
Youngstown, OH 44514-2034
Phone (330) 565-9534

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address debi@renalgroupohio.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200211002854 OH Practitioner - Nurse Practitioner 9436585445 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
025516OHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Richland County, LTD CurrentSince Jan 1, 2022 Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation CurrentSince Jan 1, 2021 Accepting new patients

Locations

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1295373413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 PAMELA CT",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445142034",
            "telephone_number": "330-565-9534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 SOUTHWESTERN RUN",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445143688",
            "telephone_number": "330-729-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALMAN",
        "first_name": "CAITLIN",
        "name_prefix": "Mrs.",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-18",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "025516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "debi@renalgroupohio.com",
            "affiliation": "N",
            "address_1": "807 Southwestern Run",
            "city": "Youngstown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "445143688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.