Individual provider Active NPI

Kayla Frank

  • Psychiatric/Mental Health Nurse Practitioner
  • Fremont, OH
National Provider Identifier
1336828557
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0034357 Issued in OH
Practice address
710 Cleveland Ave
Fremont, OH 43420-3224
Phone
(419) 334-6619
NPI assigned
Jul 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0034357 OH Primary

Addresses

Primary practice location

710 Cleveland Ave
Fremont, OH 43420-3224

Mailing address

710 Cleveland Ave
Fremont, OH 43420-3224
Phone (419) 334-6619

Other identifiers 1

IdentifierTypeStateIssuer
0029227MedicaidOH

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
I20231103000475 OH Practitioner - Nurse Practitioner 3577910181 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memorial Professional Services LTDGroup PAC ID 1456531870, 40 clinicians

Practice addresses (Care Compare)

715 S Taft Ave
Fremont, OH 43420-3237
Phone (419) 333-6462

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0034357OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Viaquest Psychiatric & Behavioral Solutions LLC CurrentSince Sep 25, 2023 Accepting new patients
Memorial Professional Services LTD CurrentSince Apr 1, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Alcove Ventures LLC Psychiatric/Mental Health PastSince Jul 1, 2023 Accepting new patients

Locations

525 Metro Pl N
Ste 100
Dublin, OH 43017
Phone (614) 339-1640

525 Metro Pl N
Ste 300
Dublin, OH 43017
Phone (614) 336-9600

1100 E Main Cross St
Ste 159
Findlay, OH 45840

710 Cleveland Ave
Fremont, OH 43420
Phone (419) 334-6619

715 S Taft Ave
Fremont, OH 43420
Phone (419) 332-7321

Interoperability endpoints

  • Direct secure messaging: kfrank309165@direct.promedica.org

Organizations & group practices 4

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": "1689292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1336828557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 CLEVELAND AVE",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434203224",
            "telephone_number": "419-334-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 CLEVELAND AVE",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434203224",
            "telephone_number": "419-334-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANK",
        "first_name": "KAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-14",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0034357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0029227",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, OH

Sources for this page

Verify at the official NPI Registry.