Individual provider Active NPI

Kimberly Ann Szabo, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Warren, OH
National Provider Identifier
1750870333
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.022237 Issued in OH
Practice address
1947 E Market St
Warren, OH 44483-6644
Phone
(330) 965-9999
Fax
(330) 757-0000
NPI assigned
May 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.022237 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.022237 OH Primary

Addresses

Primary practice location

1947 E Market St
Warren, OH 44483-6644

Mailing address

3941 Elmwood Ave
Youngstown, OH 44515-3152
Phone (330) 402-5901

Other practice location 1

11369 Market St
North Lima, OH 44452-9782
Phone (330) 965-9999

Other practice location 2

3657 Mahoning Ave
Youngstown, OH 44515-3018
Phone (330) 965-9999

Other practice location 3

4199 Millpond Dr
Beachwood, OH 44122-5731
Phone (216) 302-3070

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
I20181026000277 OH Practitioner - Nurse Practitioner 7113270810 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Serenity Center of Youngstown LLCGroup PAC ID 3870893472, 13 clinicians

Practice addresses (Care Compare)

11369 Market St
North Lima, OH 44452-9782
Phone (330) 965-9999

1947 E Market St
Warren, OH 44483-6644
Phone (330) 965-9999

3657 Mahoning Ave
Youngstown, OH 44515-3018
Phone (330) 965-9999

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Springs Physician Group, LLC CurrentSince Aug 1, 2022 Accepting new patients
Serenity Center of Youngstown, LLC CurrentSince Feb 18, 2019 Accepting new patients
Highland Springs Physician Group, LLC Current Accepting new patients

Locations

4199 Millpond Dr
Highland Hills, OH 44122
Phone (216) 206-8853

11369 Market St
North Lima, OH 44452
Phone (330) 965-9999

34125 Solon Rd
Solon, OH 44139
Phone (412) 588-3546

1947 E Market St
Warren, OH 44483
Phone (330) 965-9999

3657 Mahoning Ave
Youngstown, OH 44515
Phone (330) 965-9999

8440 Market St
Youngstown, OH 44512
Phone (330) 533-8888

Organizations & group practices 3

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": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1750870333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 ELMWOOD AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445153152",
            "telephone_number": "330-402-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1947 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836644",
            "telephone_number": "330-965-9999",
            "fax_number": "330-757-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11369 Market St",
            "address_purpose": "LOCATION",
            "city": "North Lima",
            "state": "OH",
            "postal_code": "444529782",
            "country_code": "US",
            "telephone_number": "330-965-9999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3657 Mahoning Ave",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445153018",
            "country_code": "US",
            "telephone_number": "330-965-9999",
            "fax_number": "330-757-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4199 Millpond Dr",
            "address_purpose": "LOCATION",
            "city": "Beachwood",
            "state": "OH",
            "postal_code": "441225731",
            "country_code": "US",
            "telephone_number": "216-302-3070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SZABO",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.022237",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.022237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.