Individual provider Active NPI

Kaytlyn Alese Ungerer, APRN, FNP-C

  • Family Nurse Practitioner
  • Ashland, OH
National Provider Identifier
1437711645
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.025003 Issued in OH
Practice address
2000 Center St
Ashland, OH 44805-4325
Phone
(731) 394-1145
NPI assigned
Jul 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X APRN.CNP.025003 OH Primary

Addresses

Primary practice location

2000 Center St
Ashland, OH 44805-4325

Mailing address

8640 Stair Rd
West Salem, OH 44287-9094
Phone (440) 371-5615

Other practice location 1

1251 E Main St
Ashland, OH 44805-2810
Phone (731) 394-1145

Other practice location 2

6681 Ridge Rd
Parma, OH 44129-5713
Phone (440) 842-8675

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
I20190806000173 OH Practitioner - Nurse Practitioner 3971830597 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ultra Health LLCGroup PAC ID 6800186602, 151 clinicians

Practice addresses (Care Compare)

2000 Ctr St
Ashland, OH 44805-4325
Phone (731) 394-1145

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.025003OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ultra Health LLC Single Specialty CurrentSince May 12, 2023 Accepting new patients
Traveling Nurse Practitioner, LLC Single Specialty CurrentSince Feb 15, 2021 Accepting new patients
Summit Medical Group, PLLC PastSince Jun 6, 2022 Accepting new patients

Locations

880 Mull Ave
Ste 200
Akron, OH 44313
Phone (330) 590-0847

2000 Center St
Ashland, OH 44805
Phone (419) 289-1258

1251 E Main St
Ashland, OH 44805
Phone (419) 281-9595

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14578/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kungerer@landmarkhealth-direct.org

Organizations & group practices 4

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": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1437711645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8640 STAIR RD",
            "city": "WEST SALEM",
            "state": "OH",
            "postal_code": "442879094",
            "telephone_number": "440-371-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CENTER ST",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448054325",
            "telephone_number": "731-394-1145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1251 E Main St",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "OH",
            "postal_code": "448052810",
            "country_code": "US",
            "telephone_number": "731-394-1145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6681 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Parma",
            "state": "OH",
            "postal_code": "441295713",
            "country_code": "US",
            "telephone_number": "440-842-8675",
            "fax_number": "216-220-1044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UNGERER",
        "first_name": "KAYTLYN",
        "middle_name": "ALESE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.025003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OH

Sources for this page

Verify at the official NPI Registry.