Active NPI
Kathleen Elizabeth Pool, CNM
- Advanced Practice Midwife
- Tiffin, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- APRN.CNM.11422
- Practice address
- 500 W Market St
Tiffin, OH 44883-2610 - Phone
- (419) 447-6900
- Fax
- (419) 448-7881
- NPI assigned
- Aug 4, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Inpatient Obstetric Registered Nurse | 163WX0003X | RN-284713 | OH | |
| Advanced Practice Midwife | 367A00000X | APRN.CNM.11422 | OH | Primary |
Addresses
Primary practice location
500 W Market St
Tiffin, OH 44883-2610
Mailing address
2200 Jefferson Ave
5TH Floor
Toledo, OH 43604-7101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0069163 | Medicaid | OH |
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
27 St Lawrence Dr
Tiffin, OH 44883-8314
Phone (419) 455-8500
3900 Sunforest CT
Suite 240
Toledo, OH 43623-4481
Phone (419) 475-1600
45 St Lawrence Dr
Tiffin, OH 44883-8310
Phone (419) 455-8501
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-284713 | OH | MD | Inpatient Obstetric Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians - North, LLC | Current | Accepting new patients | |
| Mercy Health Physicians-North LLC | Current | Accepting new patients | |
| Mercy Health Physicians North Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians North Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health - Tiffin Hospital LLC | Past | Accepting new patients |
Locations
27 St Lawrence Dr
Ste 202
Tiffin, OH 44883
Phone (419) 447-6900
500 W Market St
Tiffin, OH 44883
Phone (419) 251-8210
1344 W Seneca Ave
Tiffin, OH 44883
Phone (419) 447-6900
2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013
2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826
3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126
218 S Myrtle Ave
Willard, OH 44890
Phone (419) 933-2811
Interoperability endpoints
- kpool61082@direct.bsmhealth.org
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 and National Provider Directory roles.
-
- Surgery Physician
- Toledo, OH
- NPI 1306468418
-
- Family Medicine Physician
- Toledo, OH
- NPI 1609000769
-
dba Mercy Health - Perrysburg Podiatry
- Customized Equipment (DME)
- Perrysburg, OH
- NPI 1992358766
-
- Customized Equipment (DME)
- Toledo, OH
- NPI 1235891672
-
dba Harness Health Pharmacy
- General Acute Care Hospital
- Tiffin, OH
- NPI 1316994734
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Health St Vincent Medical Center
- General Acute Care Hospital
- Toledo, OH
- NPI 1467493551
-
dba Harness Health Pharmacy
- General Acute Care Hospital
- Tiffin, OH
- NPI 1316994734
-
dba Mercy Health - Willard Hospital
- Critical Access Hospital
- Willard, OH
- NPI 1790731016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728691200000",
"number": "1720392533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 JEFFERSON AVE",
"address_2": "5TH FLOOR",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436047101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W MARKET ST",
"city": "TIFFIN",
"state": "OH",
"postal_code": "448832610",
"telephone_number": "419-447-6900",
"fax_number": "419-448-7881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOL",
"first_name": "KATHLEEN",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "CNM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-04",
"last_updated": "2024-10-12",
"certification_date": "2024-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WX0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Obstetric, Inpatient",
"state": "OH",
"license": "RN-284713",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "OH",
"license": "APRN.CNM.11422",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0069163",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tiffin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2024; 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.