Active NPI
Hannah E Kitts, FNP-C
- Family Nurse Practitioner
- Jackson, OH
National Provider Identifier
1790063204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- COA. 12470-NP
- Practice address
- 731 E Main St
Jackson, OH 45640-2100 - Phone
- (740) 577-3527
- Fax
- (740) 577-3009
- NPI assigned
- Aug 1, 2011
- Last updated
- Jun 13, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | COA. 12470-NP | OH | Primary |
Addresses
Primary practice location
731 E Main St
Jackson, OH 45640-2100
Mailing address
731 E. Main Street
Suite 4
Jackson, OH 45640
Phone (740) 577-3527
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000440450 | Other | OH | OH MEDICAID UNISON |
| 0052071 | Medicaid | OH | |
| 3810020980 | Medicaid | WV |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA. 12470-NP | OH | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465776000000",
"number": "1790063204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "731 E. MAIN STREET",
"address_2": "SUITE 4",
"city": "JACKSON",
"state": "OH",
"postal_code": "45640",
"telephone_number": "740-577-3527",
"fax_number": "740-577-3009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 E MAIN ST",
"city": "JACKSON",
"state": "OH",
"postal_code": "456402100",
"telephone_number": "740-577-3527",
"fax_number": "740-577-3009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KITTS",
"first_name": "HANNAH",
"middle_name": "E",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-01",
"last_updated": "2016-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA. 12470-NP",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OH MEDICAID UNISON",
"identifier": "000000440450",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0052071",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810020980",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.