Individual provider Active NPI

Katherine D Redmond, DO

  • Pediatrics Physician
  • Vanceburg, KY
National Provider Identifier
1669038956
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
05605 Issued in KY
Practice address
246 Commonwealth Rd
Vanceburg, KY 41179-5003
Phone
(606) 796-0010
Fax
(606) 796-0011
NPI assigned
May 13, 2019
Last updated
Apr 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 34.016685 OH
Pediatrics Physician 208000000X 05605 KY Primary
Pediatric Sports Medicine Physician 2080S0010X 34.016685 OH
Pediatric Sports Medicine Physician 2080S0010X 05605 KY

Addresses

Primary practice location

246 Commonwealth Rd
Vanceburg, KY 41179-5003

Mailing address

1735 27TH St Ste B06
Portsmouth, OH 45662-2681
Phone (740) 356-8681

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address katherine.redmond@somc.medicity.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231018001083 OH Practitioner - Pediatric Medicine 9436504958 Reassigns benefits to 1 organization
I20231116000582 KY Practitioner - Pediatric Medicine 9436504958 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
05605KYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Somc Medical Care Foundation, Inc. CurrentSince Oct 1, 2023 Accepting new patients
Somc Medical Care Foundation, Inc. CurrentSince Oct 1, 2023 Accepting new patients

Locations

207 Plummers Ln
Vanceburg, KY 41179
Phone (606) 796-0010

246 Commonwealth Rd
Vanceburg, KY 41179
Phone (606) 796-0010

1248 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 353-2131

1735 27th St
Ste B06
Portsmouth, OH 45662
Phone (740) 356-7942

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

90 Cic Blvd
West Union, OH 45693
Phone (937) 544-8989

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1669038956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 27TH ST STE B06",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622681",
            "telephone_number": "740-356-8681",
            "fax_number": "740-356-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 COMMONWEALTH RD",
            "city": "VANCEBURG",
            "state": "KY",
            "postal_code": "411795003",
            "telephone_number": "606-796-0010",
            "fax_number": "606-796-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDMOND",
        "first_name": "KATHERINE",
        "middle_name": "D",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "34.016685",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "05605",
            "primary": true
        },
        {
            "code": "2080S0010X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sports Medicine",
            "state": "OH",
            "license": "34.016685",
            "primary": false
        },
        {
            "code": "2080S0010X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sports Medicine",
            "state": "KY",
            "license": "05605",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katherine.redmond@somc.medicity.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "246 Commonwealth Rd",
            "city": "Vanceburg",
            "state": "KY",
            "country_code": "US",
            "postal_code": "411795003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vanceburg, KY

Sources for this page

Verify at the official NPI Registry.