Kimberly Ermalovich, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4028830 Issued in KY

Practice address

1001 4TH St E
South Point, OH 45680-9120

Phone

(304) 654-9010

NPI assigned

Oct 9, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY, OH2 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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Longevity Clinical LTC Associates of Ohio, Inc.

  • Gerontology Nurse Practitioner
  • Parma, OH
  • NPI 1114609815

  Family Medicine

  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  KY, OH

  Medicare reassignment NPD

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1790504371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 4TH ST E",
            "city": "SOUTH POINT",
            "state": "OH",
            "postal_code": "456809120",
            "telephone_number": "304-654-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 4TH ST E",
            "city": "SOUTH POINT",
            "state": "OH",
            "postal_code": "456809120",
            "telephone_number": "304-654-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERMALOVICH",
        "first_name": "KIMBERLY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "4028830",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4028830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Ann Edwards
• Tammy Eidson, LISW, MSW, LSW
• Robert Michael Eldridge
• Jeremy Ellis, CDCA
• Jennifer Lynn Ellsworth
• Bridget Evans, CMS
• Ruby Mae Evans, CNA, ASSOCIATE BUS
• Evolve Health and Wellness Inc
• Christina Lane Fankhanel
• Denise Fannin

• Family Nurse Practitioner in South Point, OH
• Providers in South Point, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.