Kathryn Jo Peoples, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

024265 Issued in OH

Practice address

1210 Neal Dr
Cambridge, OH 43725-1143

Phone

(740) 439-8898

NPI assigned

Feb 18, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kathryn Jo Bradshaw Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Pain Management Group LLC

  • Pain Medicine Physician
  • Findlay, OH
  • NPI 1063831303
  Medicare reassignment NPD

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1356807028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 FOREST AVENUE",
            "address_2": "MAB II, SUITE 200",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "43701",
            "telephone_number": "740-586-6558",
            "fax_number": "740-586-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 NEAL DR",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437251143",
            "telephone_number": "740-439-8898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "751 Forest Avenue",
            "address_2": "MAB II, Suite 200",
            "address_purpose": "LOCATION",
            "city": "Zanesville",
            "state": "OH",
            "postal_code": "43701",
            "country_code": "US",
            "telephone_number": "740-586-6558",
            "fax_number": "740-586-6770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEOPLES",
        "first_name": "KATHRYN",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-18",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "OH",
            "license": "340095",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "024265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "BRADSHAW",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeremy Payne
• Pediatrics of Cambridge Inc.
• Kirsten M Pennington, CDCA
• Leslie Penrod, LSW
• People to People, LLC.
• Sarah L. Peoples
• Amanda Perkins, PHARMD
• Charles M Perry, DPM
• Breanna Marie Perzanowski, PA-C
• Joni Christine Pethtel, MSN, APRN, FNP-C

• Adult Health Nurse Practitioner in Cambridge, OH
• Providers in Cambridge, OH by specialty
• Adult Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.