Individual provider Active NPI

Meredith Katelyn Kanet

  • Family Nurse Practitioner
  • Dayton, OH
National Provider Identifier
1366040677
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0027118 Issued in OH
Practice address
7887 Washington Village Dr Ste 350a
Dayton, OH 45459-3900
Phone
(937) 910-4004
NPI assigned
Oct 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0027118 OH Primary

Addresses

Primary practice location

7887 Washington Village Dr Ste 350a
Dayton, OH 45459-3900

Mailing address

7887 Washington Village Dr Ste 350a
Dayton, OH 45459-3900
Phone (937) 910-4004

Other practice location 1

704 N High St
Covington, OH 45318-1420
Phone (937) 418-9269

Other practice location 2

1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 208-3534

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
I20221108001600 OH Practitioner - Nurse Practitioner 3971970757 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0027118OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-South Home Care Services, LLC CurrentSince Jun 7, 2026 Accepting new patients
Illumia Health LLC CurrentSince Jun 30, 2025 Accepting new patients
Illumia Health LLC CurrentSince Jun 30, 2025 Accepting new patients
Mid-South Home Care Services, LLC PastSince Jun 7, 2026 Accepting new patients

Locations

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

4040 Embassy Pkwy
Ste 410
Akron, OH 44333
Phone (330) 576-5405

1100 Beecher Xing N
Ste D1
Columbus, OH 43230
Phone (614) 796-4446

Organizations & group practices 6

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Illumia Health LLC 33 clinicians

Practice addresses (Care Compare)

Akron, OH 44333
Phone (330) 576-5405

Dayton, OH 45459
Phone (937) 910-4004

NPI Registry JSON

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1366040677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7887 WASHINGTON VILLAGE DR STE 350A",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593900",
            "telephone_number": "937-910-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7887 WASHINGTON VILLAGE DR STE 350A",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593900",
            "telephone_number": "937-910-4004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "704 N High St",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "OH",
            "postal_code": "453181420",
            "country_code": "US",
            "telephone_number": "937-418-9269",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Wyoming St",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454092722",
            "country_code": "US",
            "telephone_number": "937-208-3534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANET",
        "first_name": "MEREDITH",
        "middle_name": "KATELYN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-09",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0027118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.