Individual provider Active NPI

Kacie C Gikonyo, RN

  • Gerontology Registered Nurse
  • Parma, OH
National Provider Identifier
1780399113
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Registered NurseTaxonomy code 163WG0600X
License
RN.375880 Issued in OH
Practice address
7289 Ward Rd
Parma, OH 44134-5486
Phone
(330) 620-2176
NPI assigned
Jan 19, 2023
Last updated
Jan 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Registered Nurse 163WG0600X RN.375880 OH Primary

Addresses

Primary practice location

7289 Ward Rd
Parma, OH 44134-5486

Mailing address

7289 Ward Rd
Parma, OH 44134-5486
Phone (330) 620-2176

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address coachingwithkacie@outlook.com Health Information Exchange (HIE)

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN.375880OHMDGerontology Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1780399113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7289 WARD RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441345486",
            "telephone_number": "330-620-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7289 WARD RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441345486",
            "telephone_number": "330-620-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIKONYO",
        "first_name": "KACIE",
        "middle_name": "C",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "OH",
            "license": "RN.375880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "coachingwithkacie@outlook.com",
            "affiliation": "N",
            "endpointDescription": "secure email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "7289 Ward Rd",
            "city": "Parma",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441345486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.