Individual provider Active NPI

Katrina Linda Fananapazir, C.P.N.P.

  • Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1679981500
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.10252 Issued in OH
Practice address
3333 Burnet Ave
ML 2008
Cincinnati, OH 45229-3026
Phone
(513) 636-7966
Fax
(513) 636-7967
NPI assigned
Jul 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.344907-COA1 OH
Pediatric Nurse Practitioner 363LP0200X COA.10252-NP OH
Nurse Practitioner 363L00000X APRN.CNP.10252 OH Primary

Addresses

Primary practice location

3333 Burnet Ave
ML 2008
Cincinnati, OH 45229-3026

Mailing address

3333 Burnet Ave
ML 2008
Cincinnati, OH 45229-3026
Phone (513) 636-7966

Other practice location 1

6350 Glenway Ave Fl 4
Cincinnati, OH 45211-6378
Phone (513) 246-8900

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211006002800 OH Practitioner - Nurse Practitioner 0749504876 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
88.71
Promoting interoperability
100
Improvement activities
40
Cost
74.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.344907-COA1OHMDRegistered Nurse
APRN.CNP.10252OHMDNurse Practitioner
COA.10252-NPOHMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G, LLC CurrentSince May 8, 2023 Accepting new patients
Trihealth G LLC Nurse Practitioner CurrentSince May 8, 2023 Accepting new patients
Nationwide Children's Hospital PastSince Aug 28, 2021 Accepting new patients
Trihealth G LLC Past Accepting new patients

Locations

6350 Glenway Ave
Fl 4
Cincinnati, OH 45211
Phone (513) 246-8900

6350 Glenway Ave
Ste 401
Cincinnati, OH 45211
Phone (513) 246-4550

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

6350 Glenway Ave
Cincinnati, OH 45211
Phone (513) 481-1470

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

Interoperability endpoints

  • Direct secure messaging: kfananapazir384002@direct.trihealth.com

Organizations & group practices 5

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": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1679981500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVE",
            "address_2": "ML 2008",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293026",
            "telephone_number": "513-636-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVE",
            "address_2": "ML 2008",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293026",
            "telephone_number": "513-636-7966",
            "fax_number": "513-636-7967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6350 Glenway Ave Fl 4",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452116378",
            "country_code": "US",
            "telephone_number": "513-246-8900",
            "fax_number": "513-389-7901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FANANAPAZIR",
        "first_name": "KATRINA",
        "middle_name": "LINDA",
        "name_prefix": "Ms.",
        "credential": "C.P.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.344907-COA1",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "COA.10252-NP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.10252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.