Kimberly Lynn Dalton, AGPCNP-BC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

APRN.CNP.021851 Issued in OH

Practice address

20 S 3Rd St Ste 210
Columbus, OH 43215-4206

Phone

(844) 326-3119

Fax

(855) 737-5542

NPI assigned

Dec 18, 2017

Sex

Female

Sole proprietor

No

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

Enrolled in OH

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 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Carelon Medical Partners, PC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Nashville, TN
  • NPI 1124443403

  OH

  Medicare reassignment
• Carelon Medical Partners of Kansas, PA

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Leawood, KS
  • NPI 1952831422
  NPD (past)

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1801302575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 COMMERCE ST STE 700",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372011835",
            "telephone_number": "615-454-9850",
            "fax_number": "888-494-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S 3RD ST STE 210",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154206",
            "telephone_number": "844-326-3119",
            "fax_number": "855-737-5542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "295 Waterford Dr",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454582525",
            "country_code": "US",
            "telephone_number": "937-269-3645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "295 Waterford Dr",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454582525",
            "country_code": "US",
            "telephone_number": "937-269-3645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALTON",
        "first_name": "KIMBERLY",
        "middle_name": "LYNN",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRN.CNP.021851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamud Dallin
• Diana Dallman, LMT
• Brian David Dalm, MD
• Dalmar Healthcare Services
• Susan Dalton-Miller, LPCC-S LICDC-S
• Maria Dalton, LPCC-S
• Randall Elliott Dalton II, RBT
• Ryan Eric Dalton, MD
• Tania Renee Dalton
• Guy Daly, MSW LSW

• Gerontology Nurse Practitioner in Columbus, OH
• Providers in Columbus, OH by specialty
• Gerontology Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.