Individual provider Active NPI

Annette Marie Powers-Kilburn, RN

  • Registered Nurse
  • Saint Marys, OH
National Provider Identifier
1639981863
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN369862 Issued in OH
Practice address
1621 Celina Rd
Saint Marys, OH 45885-1215
Phone
(419) 300-8771
Fax
(419) 300-8773
NPI assigned
Jan 24, 2025
Last updated
Jan 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN369862 OH Primary

Addresses

Primary practice location

1621 Celina Rd
Saint Marys, OH 45885-1215

Mailing address

7805 N Rangeline Rd
Covington, OH 45318-8859
Phone (937) 241-9297

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

LicenseStateTypeSpecialty
RN369862OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1639981863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7805 N RANGELINE RD",
            "city": "COVINGTON",
            "state": "OH",
            "postal_code": "453188859",
            "telephone_number": "937-241-9297",
            "fax_number": "567-286-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 CELINA RD",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458851215",
            "telephone_number": "419-300-8771",
            "fax_number": "419-300-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS-KILBURN",
        "first_name": "ANNETTE",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN369862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.