Individual provider Active NPI

Kathryn Megan Kenarney, CNP

  • Gerontology Nurse Practitioner
  • Warrensville Heights, OH
National Provider Identifier
1346354008
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
NP07417 Issued in OH
Practice address
20050 Harvard Ave Ste 304
Warrensville Heights, OH 44122-6816
Phone
(216) 283-0750
NPI assigned
Aug 19, 2006
Last updated
May 24, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X NP07417 OH Primary

Addresses

Primary practice location

20050 Harvard Ave Ste 304
Warrensville Heights, OH 44122-6816

Mailing address

3360 Lansmere Rd
Shaker Heights, OH 44122-3406
Phone (216) 554-1155

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
I20041110000519 OH Practitioner - Nurse Practitioner 0244293298 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Encore Clinical Services LLCGroup PAC ID 5991177313, 49 clinicians
Northern Ohio Internal Medicine Associates, Inc.Group PAC ID 1153409107, 5 clinicians
Wissam Khoury DPM LLCGroup PAC ID 2668517061, 13 clinicians

Practice addresses (Care Compare)

12301 Ridge Rd
North Royalton, OH 44133-3744
Phone (216) 331-6750

20050 Harvard Ave
Suite 304
Warrensville Heights, OH 44122-6800
Phone (216) 283-0750

2475 E 22ND St
Suite 120
Cleveland, OH 44115-3221
Phone (216) 367-9444

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP07417OHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Encore Clinical Services LLC Gerontology CurrentSince Dec 1, 2025 Accepting new patients
Lake Effect Health Current Accepting new patients
Wound Care Consultants LLC Gerontology CurrentSince Jan 16, 2017 Accepting new patients
Health Care Group Providers LLC Past Accepting new patients

Locations

12301 Ridge Rd
North Royalton, OH 44133
Phone (216) 331-6750

6789 Ridge Rd
Ste 305
Parma, OH 44129
Phone (440) 491-8334

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1346354008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3360 LANSMERE RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441223406",
            "telephone_number": "216-554-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20050 HARVARD AVE STE 304",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441226816",
            "telephone_number": "216-283-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENARNEY",
        "first_name": "KATHRYN",
        "middle_name": "MEGAN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "NP07417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensville Heights, OH

Sources for this page

Verify at the official NPI Registry.