Individual provider Active NPI

Amy Ellen Kempton

  • Licensed Practical Nurse
  • Niles, OH
National Provider Identifier
1497465785
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN101373-MEDS Issued in OH
Practice address
336 Vienna Ave
Niles, OH 44446-2628
Phone
(234) 544-3322
NPI assigned
Nov 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN101373-MEDS OH Primary

Addresses

Primary practice location

336 Vienna Ave
Niles, OH 44446-2628

Mailing address

269 Oakley Ave
Boardman, OH 44512-3422
Phone (419) 202-4395

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

State licenses

LicenseStateTypeSpecialty
LPN101373-MEDSOHMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Treatment Centers Oh-XX, LLC CurrentSince Dec 6, 2022 Accepting new patients

Locations

336 Vienna Ave
Niles, OH 44446
Phone (234) 544-3322

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": "1669680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1497465785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 OAKLEY AVE",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445123422",
            "telephone_number": "419-202-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 VIENNA AVE",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444462628",
            "telephone_number": "234-544-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPTON",
        "first_name": "AMY",
        "middle_name": "ELLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN101373-MEDS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.