Individual provider Active NPI

Kimberly Rhae Hyatt

  • Family Nurse Practitioner
  • Dublin, OH
National Provider Identifier
1407400708
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.025047 Issued in OH
Practice address
6750 Avery Muirfield Dr Ste A1
Dublin, OH 43017-1228
Phone
(614) 407-4268
Fax
(614) 793-8431
NPI assigned
Jul 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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.025047 OH Primary

Addresses

Primary practice location

6750 Avery Muirfield Dr Ste A1
Dublin, OH 43017-1228

Mailing address

6750 Avery Muirfield Dr Ste A1
Dublin, OH 43017-1228
Phone (614) 407-4268

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
I20201201002935 OH Practitioner - Nurse Practitioner 7911318688

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Works, LTD PastSince Nov 3, 2020 Accepting new patients
Hyperbaric Therapy of Dublin PastSince Jul 28, 2019 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1407400708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 AVERY MUIRFIELD DR STE A1",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430171228",
            "telephone_number": "614-407-4268",
            "fax_number": "614-793-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 AVERY MUIRFIELD DR STE A1",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430171228",
            "telephone_number": "614-407-4268",
            "fax_number": "614-793-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYATT",
        "first_name": "KIMBERLY",
        "middle_name": "RHAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.025047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.