Active NPI
Kimberlee Sandusky, RN, PHN II
- Registered Nurse
- Cincinnati, OH
National Provider Identifier
1598917601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN259542
- Practice address
- 2136 W 8TH St
Cincinnati, OH 45204-2052 - Phone
- (513) 357-2808
- NPI assigned
- Oct 21, 2008
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN259542 | OH | Primary |
Addresses
Primary practice location
2136 W 8TH St
Cincinnati, OH 45204-2052
Mailing address
2136 W 8TH St
Cincinnati, OH 45204-2052
Phone (513) 357-2808
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0502834 | Medicaid | OH | |
| 0580027 | Medicaid | OH |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN259542 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224547200000",
"number": "1598917601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2136 W 8TH ST",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452042052",
"telephone_number": "513-357-2808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2136 W 8TH ST",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452042052",
"telephone_number": "513-357-2808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDUSKY",
"first_name": "KIMBERLEE",
"name_prefix": "Ms.",
"credential": "RN, PHN II",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-21",
"last_updated": "2008-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN259542",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0502834",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0580027",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.