Ivy Kemp

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

PRS.003759 Issued in OH

Practice address

7058 Corporate Way Ste 3
Dayton, OH 45459-4243

Phone

(937) 991-0080

Fax

(937) 991-0083

NPI assigned

Sep 3, 2026

Last updated

Sep 3, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1770492993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 27TH ST SE APT 201",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563048591",
            "telephone_number": "786-698-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7058 CORPORATE WAY STE 3",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594243",
            "telephone_number": "937-991-0080",
            "fax_number": "937-991-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMP",
        "first_name": "IVY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "PRS.003759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Kemp
• Angela Kemp, PA
• Brian J Kemp, IDMT
• Elise Kemp
• Erica Kemp
• Andrew Joseph Kender Jr., O.D.
• Mary H Kendrick
• Kari A Keneaster, D.O.
• Carolyn Joan Kennard
• Steven Ward Kennard

• Peer Specialist in Dayton, OH
• Providers in Dayton, OH by specialty
• Peer Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.