Individual provider Active NPI

Katlyn Robison, NP

  • Family Nurse Practitioner
  • Kettering, OH
National Provider Identifier
1366148819
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0033073 Issued in OH
Practice address
3700 Southern Blvd
Kettering, OH 45429-1265
Phone
(937) 281-3800
Fax
(937) 281-3805
NPI assigned
Feb 6, 2023
Last updated
May 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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 0033073 OH Primary

Addresses

Primary practice location

3700 Southern Blvd
Kettering, OH 45429-1265

Mailing address

3700 Southern Blvd
Kettering, OH 45429-1265
Phone (855) 500-2873

Other practice location 1

30 E Apple St Ste 5254A
Dayton, OH 45409-2939
Phone (937) 208-4200

Other practice location 2

2300 Miami Valley Dr Ste 550
Centerville, OH 45459-1298
Phone (937) 438-7500

Other names 1

  • Katlyn Ireland Former name

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
I20240125003556 OH Practitioner - Nurse Practitioner 2466805460 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians

Practice addresses (Care Compare)

1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 208-8000

3700 Southern Blvd
Suite 201
Kettering, OH 45429-1265
Phone (855) 500-2873

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0033073OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Specialists Inc Current Accepting new patients
Premier Health Specialists Inc CurrentSince Dec 12, 2023 Accepting new patients
Kettering Independent Medical Group Inc CurrentSince Sep 24, 2025 Accepting new patients
Premier Health Specialists Inc CurrentSince Dec 12, 2023 Accepting new patients
Springfield Urology LLC CurrentSince Feb 12, 2023 Accepting new patients

Locations

2365 Lakeview Dr
Ste C
Beavercreek, OH 45431
Phone (937) 342-9260

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

2300 Miami Valley Dr
Ste 550
Dayton, OH 45459
Phone (937) 438-7500

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

30 E Apple St
Ste 5254A
Dayton, OH 45409

3700 Southern Blvd
Ste 201
Kettering, OH 45429
Phone (855) 500-2873

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

3170 Kettering Blvd
Moraine, OH 45439
Phone (937) 208-6400

1164 E Home Rd
Ste J
Springfield, OH 45503
Phone (937) 342-9260

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1366148819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 SOUTHERN BLVD",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454291265",
            "telephone_number": "855-500-2873",
            "fax_number": "937-281-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 SOUTHERN BLVD",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454291265",
            "telephone_number": "937-281-3800",
            "fax_number": "937-281-3805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 E Apple St Ste 5254A",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454092939",
            "country_code": "US",
            "telephone_number": "937-208-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 Miami Valley Dr Ste 550",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454591298",
            "country_code": "US",
            "telephone_number": "937-438-7500",
            "fax_number": "937-438-7555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBISON",
        "first_name": "KATLYN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0033073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATLYN",
            "last_name": "IRELAND",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kettering, OH

Sources for this page

Verify at the official NPI Registry.