Individual provider Active NPI

Kattie Ynez Amegatcher, MD

  • Family Medicine Physician
  • Englewood, OH
National Provider Identifier
1689709099
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.090959 Issued in OH
Practice address
1250 W National Rd Ste 400
Englewood, OH 45315-9506
Phone
(937) 836-6000
Fax
(937) 832-4805
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.090959 OH Primary

Addresses

Primary practice location

1250 W National Rd Ste 400
Englewood, OH 45315-9506

Mailing address

1250 W National Rd
Ste 400
Englewood, OH 45315-9506
Phone (937) 832-0006

Other practice location 1

9000 N Main St
Suite 238
Dayton, OH 45415-1180
Phone (937) 832-0006

Other identifiers 1

IdentifierTypeStateIssuer
2929773MedicaidOH

Other names 1

  • Dr. Kattie Ynez Meranda Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kamegatcher183299@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.090959OHMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1689709099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 W NATIONAL RD",
            "address_2": "STE 400",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453159506",
            "telephone_number": "937-832-0006",
            "fax_number": "937-832-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 W NATIONAL RD STE 400",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453159506",
            "telephone_number": "937-836-6000",
            "fax_number": "937-832-4805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9000 N Main St",
            "address_2": "Suite 238",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454151180",
            "country_code": "US",
            "telephone_number": "937-832-0006",
            "fax_number": "937-832-0017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMEGATCHER",
        "first_name": "KATTIE",
        "middle_name": "YNEZ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.090959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2929773",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kamegatcher183299@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "1250 W National Rd Ste 400",
            "city": "Englewood",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453159506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1250 W National Rd Ste 400",
            "city": "Englewood",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453159506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATTIE",
            "last_name": "MERANDA",
            "middle_name": "YNEZ",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Englewood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.