Kim Conway, CNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

13238-NP Issued in OH

Practice address

12380 Plaza Dr
Suite 101
Parma, OH 44130-1043

Phone

(216) 898-8488

Fax

(216) 362-0677

NPI assigned

Apr 4, 2012

Sex

Female

Sole proprietor

No

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Stafford Services, Inc.

  • Family Nurse Practitioner
  • Parma, OH
  • NPI 1679542021

  Adult Health, OH

  Medicare reassignment NPD

Merit-based Incentive Payment System (MIPS)

Final score

66.34 of 100Reported as group

Quality

63.79

Promoting interoperability

0

Improvement activities

40

Cost

74.03

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342051200000",
    "number": "1649536699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12380 PLAZA DR",
            "address_2": "SUITE 101",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441301043",
            "telephone_number": "216-898-8488",
            "fax_number": "216-362-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12380 PLAZA DR",
            "address_2": "SUITE 101",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441301043",
            "telephone_number": "216-898-8488",
            "fax_number": "216-362-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "KIM",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-04",
        "last_updated": "2012-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "13238-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daylynn Jean Conley, CDCAP
• Jordan Connell, PA
• Constellation Schools: Parma Community
• Continuum Care Home Health, LLC
• Continuum Care Hospice LLC
• Allan Cook, P.A.-C.
• Mileena Cook, MSE.D, BCBA, COBA
• Brenda L Cooper
• Shannon Cooper
• Ronald Louis Copeland, M.D.

• All providers in Parma, OH
• Adult Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.