Individual provider Active NPI

Kaley Nicole Day, FNP-BC

  • Family Nurse Practitioner
  • New Waterford, OH
National Provider Identifier
1407341977
Registry record updated Sep 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.023006 Issued in OH
Practice address
3763 E Main St
New Waterford, OH 44445-9762
Phone
(330) 420-2025
Fax
(330) 967-4444
NPI assigned
Jun 27, 2018
Last updated
Sep 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2023

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.023006 OH Primary

Addresses

Primary practice location

3763 E Main St
New Waterford, OH 44445-9762

Mailing address

3763 E Main St
New Waterford, OH 44445-9762
Phone (330) 420-2025

Other names 1

  • Kaley Nicole Kastner 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
I20200526003213 OH Practitioner - Nurse Practitioner 7517388754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Primary Convenient Care CorporationGroup PAC ID 9830507185, 2 clinicians

Practice addresses (Care Compare)

3763 E Main St
New Waterford, OH 44445-9762
Phone (330) 853-7086

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Convenient Care Corporation CurrentSince Dec 25, 2020 Accepting new patients

Locations

3763 E Main St
New Waterford, OH 44445
Phone (330) 420-2025

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23378/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kaley.day.1@23378.direct.athenahealth.com

Organizations & group practices 1

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 2

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": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693699200000",
    "number": "1407341977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3763 E MAIN ST",
            "city": "NEW WATERFORD",
            "state": "OH",
            "postal_code": "444459762",
            "telephone_number": "330-420-2025",
            "fax_number": "330-967-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3763 E MAIN ST",
            "city": "NEW WATERFORD",
            "state": "OH",
            "postal_code": "444459762",
            "telephone_number": "330-420-2025",
            "fax_number": "330-967-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAY",
        "first_name": "KALEY",
        "middle_name": "NICOLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2023-09-03",
        "certification_date": "2023-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.023006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KALEY",
            "last_name": "KASTNER",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Waterford, OH

Sources for this page

Verify at the official NPI Registry.