Active NPI
Kathleen Niederhelman, RN
- Certified Registered Nurse Anesthetist
- Elyria, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 142717
- Practice address
- 860 E Broad St
Elyria, OH 44035-6542 - Phone
- (440) 323-8515
- NPI assigned
- Aug 9, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 142717 | OH | Primary |
Addresses
Primary practice location
860 E Broad St
Elyria, OH 44035-6542
Mailing address
PO Box 35
Sandusky, OH 44871-0035
Phone (513) 532-5187
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200457680 | Medicaid | IN | |
| 2100345 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 142717 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Anesthesia Limited, LLC | Current | Accepting new patients | |
| Elyria Anesthesia Incorporated | Current | Accepting new patients | |
| Anesthesia Group Practice, Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Physicians Anesthesia Service Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Southern Ohio Pathology Consultants Inc | Past | Accepting new patients |
Locations
7580 Northcliff Ave
Ste 1000
Cleveland, OH 44144
860 E Broad St
Ste I
Elyria, OH 44035
Phone (440) 323-8458
3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520
850 Columbia Rd
Ste 200
Westlake, OH 44145
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.
-
- Anesthesiology Physician
- Elyria, OH
- NPI 1710922463
-
- Anesthesiology Physician
- Westlake, OH
- NPI 1730460205
-
- Anesthesiology Physician
- Montgomery, OH
- NPI 1417951948
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Cincinnati, OH
- NPI 1063457513
Nurse Anesthetist, Certified Registered
-
- Anatomic Pathology & Clinical Pathology Physician
- Cincinnati, OH
- NPI 1831173202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393372800000",
"number": "1477554046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "448710035",
"telephone_number": "513-532-5187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 E BROAD ST",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440356542",
"telephone_number": "440-323-8515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEDERHELMAN",
"first_name": "KATHLEEN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-09",
"last_updated": "2014-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "142717",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200457680",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2100345",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elyria, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.