Individual provider Active NPI

Kayla Nicole Thatcher, QMS

  • Case Manager/Care Coordinator
  • Van Wert, OH
National Provider Identifier
1447083589
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
123 S Washington St
Van Wert, OH 45891-1707
Phone
(419) 771-1050
Fax
(419) 771-1050
NPI assigned
Aug 23, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

123 S Washington St
Van Wert, OH 45891-1707

Mailing address

123 S Washington St
Van Wert, OH 45891-1707
Phone (419) 771-1050

Other practice location 1

121 S Washington St
Van Wert, OH 45891-1707
Phone (419) 771-1050 ext. 3

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Angel Intervention Services LLC CurrentSince Aug 25, 2024 Accepting new patients

Locations

121 S Washington St
Van Wert, OH 45891
Phone 4197711050 ext. 3

123 S Washington St
Van Wert, OH 45891
Phone (419) 771-1050

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1447083589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 S WASHINGTON ST",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458911707",
            "telephone_number": "419-771-1050",
            "fax_number": "419-771-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S WASHINGTON ST",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458911707",
            "telephone_number": "419-771-1050",
            "fax_number": "419-771-1050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 S Washington St",
            "address_purpose": "LOCATION",
            "city": "Van Wert",
            "state": "OH",
            "postal_code": "458911707",
            "country_code": "US",
            "telephone_number": "419-771-1050 x3",
            "fax_number": "419-771-1051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THATCHER",
        "first_name": "KAYLA",
        "middle_name": "NICOLE",
        "credential": "QMS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Wert, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.