Alberta S Kemper, PNP-BC

Key facts

NPI

1801122809

Entity type

Individual (NPI type 1)

Primary specialty

Pediatric Nurse Practitioner 363LP0200X

License

2009007481 (OH)

Practice address

107 Javit CT
Youngstown, OH 44515-2410

Phone

(330) 797-0455

NPI assigned

Oct 26, 2009

Sex

Female

Sole proprietor

No

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.

• Triad Health Services, LLC Plastic Surgery Physician · Youngstown, OH · NPI 1588925457
  Medicare reassignment NPD OH
• Austintown Pediatrics Inc Pediatrics Physician · Youngstown, OH · NPI 1841584356
  NPD (past)
• Healthridge Medical Center Inc Family Medicine Physician · Campbell, OH · NPI 1497717664
  NPD (past) PEDIATRICS
• Southwoods Health at Home, LLC Home Health Agency · Youngstown, OH · NPI 1023788940
  NPD (past)
• The Surgery Center at Southwoods, LLC Special Hospital · Youngstown, OH · NPI 1740398890
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kemper.alberta@onehealth.medicity.net

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 15, 2015.

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429056000000",
    "number": "1801122809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 W WILSON ST",
            "address_2": "BOX 653",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444602066",
            "telephone_number": "330-277-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 JAVIT CT",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445152410",
            "telephone_number": "330-797-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPER",
        "first_name": "ALBERTA",
        "middle_name": "S",
        "name_prefix": "Miss",
        "credential": "PNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-26",
        "last_updated": "2015-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "2009007481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3128645",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Youngstown, OH · Pediatric Nurse Practitioner in Ohio