Individual provider Active NPI

Kathie Jo Turner, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Montgomery, OH
National Provider Identifier
1457498495
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.04379 Issued in OH
Practice address
10547 Montgomery Rd Ste 700
Montgomery, OH 45242-4418
Phone
(844) 533-0315
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.04379-NP OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.04379 OH Primary

Addresses

Primary practice location

10547 Montgomery Rd Ste 700
Montgomery, OH 45242-4418

Mailing address

3333 Burnet Ave
ML 7015
Cincinnati, OH 45229-3026
Phone (513) 636-4266

Other practice location 1

3333 Burnet Ave
ML 7015
Cincinnati, OH 45229-3026
Phone (513) 636-4266

Other identifiers 1

IdentifierTypeStateIssuer
2440031MedicaidOH

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
I20031219000817 OH Practitioner - Nurse Practitioner 2860390457 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.04379-NPOHMDFamily Nurse Practitioner
APRN.CNP.04379OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital Medical Center CurrentSince Aug 13, 2015 Accepting new patients
Mindfully Psychiatry LLC CurrentSince Jun 30, 2022 Accepting new patients
Timshel Integrative Psychiatry Psychiatric/Mental Health Current Accepting new patients
Lee Side Wellness Associates, LLC Psychiatric/Mental Health CurrentSince Mar 14, 2018 Accepting new patients
Oncology Hematology Care Inc Past Accepting new patients

Locations

3341 Solutions Ctr
Chicago, IL 60677

3333 Burnet Ave
#7015
Cincinnati, OH 45229
Phone (513) 636-4266

3333 Burnet Ave
#5021
Cincinnati, OH 45229
Phone (513) 636-4225

3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200

10450 New Haven Rd
Ste 3
Harrison, OH 45030
Phone (513) 367-2222

3615 Socialville Foster Rd
Ste C
Mason, OH 45040
Phone (513) 204-1910

5412 Courseview Dr
Ste 215
Mason, OH 45040
Phone (513) 204-1910

10547 Montgomery Rd
Ste 700
Montgomery, OH 45242
Phone (513) 393-0300

Organizations & group practices 5

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1457498495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVE",
            "address_2": "ML 7015",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293026",
            "telephone_number": "513-636-4266",
            "fax_number": "513-636-3549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10547 MONTGOMERY RD STE 700",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452424418",
            "telephone_number": "844-533-0315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 Burnet Ave",
            "address_2": "ML 7015",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452293026",
            "country_code": "US",
            "telephone_number": "513-636-4266",
            "fax_number": "513-636-3549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TURNER",
        "first_name": "KATHIE",
        "middle_name": "JO",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.04379-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.04379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2440031",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, OH

Sources for this page

Verify at the official NPI Registry.