Individual provider Active NPI

Kim L Schaum, FNP-BC

  • Family Nurse Practitioner
  • Marietta, OH
National Provider Identifier
1760621742
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
49247 Issued in WV
Practice address
701 Hildreth LN
Marietta, OH 45750-1768
Phone
(740) 371-7194
NPI assigned
Feb 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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 49247 WV Primary
Family Nurse Practitioner 363LF0000X COA.10447-NP OH

Addresses

Primary practice location

701 Hildreth LN
Marietta, OH 45750-1768

Mailing address

9 Chesapeake PLZ
Chesapeake, OH 45619-1003
Phone (740) 340-1602

Other practice location 1

1212 Garfield Ave
Suite 300
Parkersburg, WV 26101-3247
Phone (304) 865-3600

Other practice location 2

2832 Pike St Ste 1
Parkersburg, WV 26101-8674
Phone (304) 489-3815

Other identifiers 2

IdentifierTypeStateIssuer
3810014361MedicaidWV
2929844MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090415000691 OH Practitioner - Nurse Practitioner 5698822302 Reassigns benefits to 1 organization
I20090422000174 WV Practitioner - Nurse Practitioner 5698822302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
COA.10447-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Group Home, LLC CurrentSince Oct 8, 2025 Accepting new patients
Quality Care Associates Urgent Care and Wellness Center, LLC CurrentSince Feb 15, 2019 Accepting new patients
Anderson Medical Group Past Accepting new patients
Phoenix Group Home, LLC PastSince Sep 23, 2024 Accepting new patients
Pars Neurosurgical Associates, Inc Past Accepting new patients

Locations

9 Chesapeake Plz
Chesapeake, OH 45619
Phone (740) 297-6019

416 Front St
Marietta, OH 45750
Phone (740) 236-4131

701 Hildreth Ln
Marietta, OH 45750
Phone (740) 371-7194

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/pathihc/r4/
  • FHIR API: https://api.platform.athenahealth.com/18451/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1760621742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CHESAPEAKE PLZ",
            "city": "CHESAPEAKE",
            "state": "OH",
            "postal_code": "456191003",
            "telephone_number": "740-340-1602",
            "fax_number": "740-421-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 HILDRETH LN",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457501768",
            "telephone_number": "740-371-7194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1212 Garfield Ave",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Parkersburg",
            "state": "WV",
            "postal_code": "261013247",
            "country_code": "US",
            "telephone_number": "304-865-3600",
            "fax_number": "304-865-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2832 Pike St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Parkersburg",
            "state": "WV",
            "postal_code": "261018674",
            "country_code": "US",
            "telephone_number": "304-489-3815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHAUM",
        "first_name": "KIM",
        "middle_name": "L",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-13",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "49247",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.10447-NP",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810014361",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2929844",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, OH

Sources for this page

Verify at the official NPI Registry.