Active NPI
Dena Kirklin-Thomas, CNP
- Family Nurse Practitioner
- Englewood, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0031816
- Practice address
- 9000 N Main St Ste 305
Englewood, OH 45415-1165 - Phone
- (937) 832-9322
- NPI assigned
- Jul 25, 2022
- Last updated
- Oct 26, 2022
- 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 | 0031816 | OH | Primary |
Addresses
Primary practice location
9000 N Main St Ste 305
Englewood, OH 45415-1165
Mailing address
9000 N Main St Ste 305
Englewood, OH 45415-1165
Phone (937) 832-9322
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
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9000 N Main St
Suite 305
Englewood, OH 45415-1165
Phone (937) 832-9322
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0031816 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan Family Care Inc | Current | Accepting new patients | |
| Samaritan Family Care Inc | Current | Accepting new patients | |
| Samaritan Family Care, Inc. | Past | Accepting new patients |
Locations
1530 Needmore Rd
Ste 200
Dayton, OH 45414
Phone (937) 278-5854
7111 N Main St
Ste 10
Dayton, OH 45415
Phone (937) 277-2121
9000 N Main St
Ste 305
Englewood, OH 45415
Phone (513) 832-1095
3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Moraine, OH
- NPI 1659503886
-
dba Samaritan Hospitalist Group
- Hospitalist Physician
- Dayton, OH
- NPI 1558316638
-
dba Brookville Family Care
- Family Medicine Physician
- Brookville, OH
- NPI 1851344501
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666742400000",
"number": "1326774167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9000 N MAIN ST STE 305",
"city": "ENGLEWOOD",
"state": "OH",
"postal_code": "454151165",
"telephone_number": "937-832-9322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 N MAIN ST STE 305",
"city": "ENGLEWOOD",
"state": "OH",
"postal_code": "454151165",
"telephone_number": "937-832-9322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRKLIN-THOMAS",
"first_name": "DENA",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-25",
"last_updated": "2022-10-26",
"certification_date": "2022-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "0031816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, OH
- Ramya Keshavaram, M.D.
- Seth Tyler Kettel, M.D.
- Kirkland Investments LLC (Anchor Physical Therapy & Rehabilitation)
- Heather Kirkland, MS, SLP-CCC
- James Kirkland, PT
- Vaniska Kirklin-Thomas, CNP
- KMT Therapy and Rehabilitation LLC
- Susan Marie Knapke, RDN, LD
- Angela Knipfer, LMT
- David Michael Kreusch, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.