Kimberly Georgeann Patterson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN.091994 Issued in OH

Practice address

9727 Rocky Fork Rd
St Louisville, OH 43071-9781

Phone

(740) 745-2652

Fax

(740) 745-1219

NPI assigned

Mar 24, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1639340268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9727 ROCKY FORK RD",
            "city": "ST LOUISVILLE",
            "state": "OH",
            "postal_code": "430719781",
            "telephone_number": "740-745-2652",
            "fax_number": "740-745-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9727 ROCKY FORK RD",
            "city": "ST LOUISVILLE",
            "state": "OH",
            "postal_code": "430719781",
            "telephone_number": "740-745-2652",
            "fax_number": "740-745-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "KIMBERLY",
        "middle_name": "GEORGEANN",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN.091994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Debbie Mason
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• Newton Township Trustees
• Karen Posey, NP-C
• Amy Anne Sickle, LSW
• John Swisher, LSW
• Deena Ware, LSW
• Barbara Ann West, L.S.W.

• Licensed Practical Nurse in St Louisville, OH
• Providers in St Louisville, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.

Verify at the official NPI Registry.