Diana Kobylak, LPN, CMS

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN.118192.MEDS-IV Issued in OH

Practice address

Racing for Recovery
6202 Trust Dr.
Holland, OH 43528

Phone

(419) 824-8462

Fax

(419) 517-0514

NPI assigned

Jan 10, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Racing for Recovery

  • Addiction (Substance Use Disorder) Counselor
  • Holland, OH
  • NPI 1265023592
  NPD
• Racing for Recovery

  • Community/Behavioral Health Agency
  • Holland, OH
  • NPI 1528411097
  NPD

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1336789049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RACING FOR RECOVERY",
            "address_2": "6202 TRUST DR.",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "43528",
            "telephone_number": "419-824-8462",
            "fax_number": "419-517-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RACING FOR RECOVERY",
            "address_2": "6202 TRUST DR.",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "43528",
            "telephone_number": "419-824-8462",
            "fax_number": "419-517-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBYLAK",
        "first_name": "DIANA",
        "credential": "LPN, CMS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.118192.MEDS-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KJ Transportation Services LLC
• Rachel Klein
• Christine Klocheska, MA CCC-SLP
• Christina L Knapke, NP
• Jennifer Ann Knapp, LPCC
• Lisa A Kohlhofer
• Michael Kohlhofer Jr.
• Raymond Steven Kott, D.C.
• Ashley Kravetsky
• Ursula Krisjanis

• Licensed Practical Nurse in Holland, OH
• Providers in Holland, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.

Verify at the official NPI Registry.