Kaitlyn Nicole Fannin, APRN

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

APRN.CNP.0033154 Issued in OH

Practice address

240 Parsons Ave
Columbus, OH 43215-5331

Phone

(614) 645-5462

NPI assigned

May 31, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kaitlyn.fannin.1@26020.direct.athenahealth.com

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.

• Oh Independent Medical Group LLC

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1497482111
  Medicare reassignment NPD
• Oh Independent Medical Group LLC

  • Durable Medical Equipment & Medical Supplies
  • Circleville, OH
  • NPI 1114753431
  NPD
• City of Columbus

  • State or Local Public Health Clinic/Center
  • Columbus, OH
  • NPI 1285874339
  NPD (past)

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1437842804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 FOX FIRE DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430407024",
            "telephone_number": "614-493-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 PARSONS AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155331",
            "telephone_number": "614-645-5462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANNIN",
        "first_name": "KAITLYN",
        "middle_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "APRN.CNP.0033154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maretta Fan
• Xiaoke Fan, CT
• Kara Fanaff
• Ashley L. Fang, DO
• Richard Allen Fankhauser, M.D.
• Lindsay Fannin, MD
• Lisa Fannin, MSW, LSW
• Nicole Renee Fannin
• Taylor Nicole Fannin, DO
• Jacob K Fanning, DPT

• Women's Health Nurse Practitioner in Columbus, OH
• Providers in Columbus, OH by specialty
• Women's Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.