Individual provider Active NPI

Kay L Grothaus, APRN CNS

  • Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1447225958
Registry record updated Feb 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRNCNS01900 Issued in OH
Practice address
3020 N McCord Rd Ste 102
Toledo, OH 43615-1701
Phone
(419) 517-1110
Fax
(419) 517-1108
NPI assigned
Feb 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN 21-15-7150 OH
Nurse Practitioner 363L00000X APRNCNS01900 OH Primary

Addresses

Primary practice location

3020 N McCord Rd Ste 102
Toledo, OH 43615-1701

Mailing address

3020 N McCord Rd Ste 102
Toledo, OH 43615-1701
Phone (419) 517-1110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology and Headache Clinics of NW Ohio CurrentSince Feb 1, 2018 Accepting new patients
University of Toledo Physicians LLC Past Accepting new patients

Locations

19645 Progress Dr
Strongsville, OH 44149

3020 N McCord Rd
Ste 102
Toledo, OH 43615
Phone (419) 517-1110

3020 N McCord Rd
Ste 201
Toledo, OH 43615
Phone (419) 517-1110

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": "1140220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518652800000",
    "number": "1447225958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 N MCCORD RD STE 102",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436151701",
            "telephone_number": "419-517-1110",
            "fax_number": "419-517-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 N MCCORD RD STE 102",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436151701",
            "telephone_number": "419-517-1110",
            "fax_number": "419-517-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROTHAUS",
        "first_name": "KAY",
        "middle_name": "L",
        "credential": "APRN CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-18",
        "last_updated": "2018-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OH",
            "license": "RN 21-15-7150",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRNCNS01900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.