Active NPI
Kathryn Keyes Koble, NP
- Family Nurse Practitioner
- Kettering, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.0038837
- Practice address
- 3737 Southern Blvd Ste 4200
Kettering, OH 45429-0135 - Phone
- (937) 294-1489
- NPI assigned
- Jan 30, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0038837 | OH | Primary |
Addresses
Primary practice location
3737 Southern Blvd Ste 4200
Kettering, OH 45429-0135
Mailing address
3812 Oak Creek Dr
Dayton, OH 45440-2571
Phone (937) 478-7016
Other practice location 1
3535 Southern Blvd
Dayton, OH 45429-1221
Phone (937) 298-4331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4000876 | Other | OH | RN |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kkoble997322@direct.ketteringhealth.org | ||
| FHIR URL | https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/ |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3737 Southern Blvd
Suite 4200
Kettering, OH 45429-0135
Phone (937) 294-1489
Hospital & facility affiliations
- Kettering Health Main Campus
- Kettering Health Dayton
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.0038837 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kettering Independent Medical Group Inc | Current | Accepting new patients |
Locations
3535 Pentagon Blvd
Ste 320
Beavercreek, OH 45431
Phone (937) 490-2270
4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910
3737 Southern Blvd
Ste 4200
Kettering, OH 45429
Phone (937) 813-7348
3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221
Interoperability endpoints
- kkoble997322@direct.ketteringhealth.org
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.
-
- Orthopaedic Surgery Physician
- Miamisburg, OH
- NPI 1629387865
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
-
- General Acute Care Hospital
- Kettering, OH
- NPI 1043233984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773187200000",
"number": "1649986936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3812 OAK CREEK DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454402571",
"telephone_number": "937-478-7016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3737 SOUTHERN BLVD STE 4200",
"city": "KETTERING",
"state": "OH",
"postal_code": "454290135",
"telephone_number": "937-294-1489"
}
],
"practiceLocations": [
{
"address_1": "3535 Southern Blvd",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454291221",
"country_code": "US",
"telephone_number": "937-298-4331",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOBLE",
"first_name": "KATHRYN",
"middle_name": "KEYES",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-30",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.0038837",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "4000876",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kkoble997322@direct.ketteringhealth.org",
"affiliation": "N",
"address_1": "3737 Southern Blvd Ste 4200",
"city": "Kettering",
"state": "OH",
"country_code": "US",
"postal_code": "454290135",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
"affiliation": "N",
"address_1": "3737 Southern Blvd Ste 4200",
"city": "Kettering",
"state": "OH",
"country_code": "US",
"postal_code": "454290135",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.