Individual provider Active NPI

Kyong M Nelson, CNP

  • Family Nurse Practitioner
  • Huber Heights, OH
National Provider Identifier
1689417875
Registry record updated Jun 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0036701 Issued in OH
Practice address
7136 Chambersburg Rd
Huber Heights, OH 45424-3916
Phone
(937) 470-2174
NPI assigned
Jun 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0036701 OH Primary

Addresses

Primary practice location

7136 Chambersburg Rd
Huber Heights, OH 45424-3916

Mailing address

7136 Chambersburg Rd
Huber Heights, OH 45424-3916
Phone (937) 470-2174

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
I20241113000737 OH Practitioner - Nurse Practitioner 2466767363 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0036701OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
A Touch of Heaven Home Health Care LLC Current Accepting new patients
Theoria Medical CurrentSince Oct 28, 2024 Accepting new patients
Syed Najeed, MD, LLC CurrentSince Jan 7, 2025 Accepting new patients
Oza & Oza MDS Inc CurrentSince Jan 7, 2025 Accepting new patients
Healing Partners Plus PLLC CurrentSince Oct 1, 2025 Accepting new patients
Consonant Healing Associates of de LLC CurrentSince Apr 28, 2025 Accepting new patients

Locations

2100 Cherokee Ridge Way
Louisville, KY 40205
Phone (502) 451-0990

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

200 Public Sq
Ste 2300
Cleveland, OH 44114
Phone (443) 483-9300

441 Norton Rd
Columbus, OH 43228
Phone (614) 794-8800

1 Elizabeth Pl
Ste WP1010A
Dayton, OH 45417
Phone (937) 222-3544

1 Elizabeth Pl
#115
Dayton, OH 45417
Phone (937) 222-3544

6100 Oak Tree Blvd
Ste 200
Independence, OH 44131
Phone (330) 344-9030

1030 High St
Worthington, OH 43085
Phone (614) 876-7356

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1718409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718409600000",
    "number": "1689417875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7136 CHAMBERSBURG RD",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454243916",
            "telephone_number": "937-470-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7136 CHAMBERSBURG RD",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454243916",
            "telephone_number": "937-470-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "KYONG",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-15",
        "last_updated": "2024-06-15",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0036701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huber Heights, OH

Sources for this page

Verify at the official NPI Registry.