Active NPI
Kimberly Suzette Applegate, FNP
- Family Nurse Practitioner
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.024919
- Practice address
- 2231 N High St
Columbus, OH 43201-1194 - Phone
- (614) 404-8417
- NPI assigned
- Feb 11, 2020
- Reactivated
- Mar 11, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
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.
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- NPI 1609362375
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- Brighton, MI
- NPI 1164186946
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210330000764 | OH | Practitioner - Nurse Practitioner | 0042627531 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.024919 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theoria Medical | Current | Accepting new patients | |
| Mobile Wound Healing LLC | Current | Accepting new patients | |
| Healogics Specialty Physicians of Ohio, LLC | Current | Accepting new patients | |
| Theoria Medical | Past | Accepting new patients |
Locations
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
41850 W 11 Mile Rd
Ste 207
Novi, MI 48375
6371 Riverside Dr
Ste 1100
Dublin, OH 43017
Phone (614) 516-6980
5151 N Hamilton Rd
Gahanna, OH 43230
Phone (614) 337-1066
1010 Cereal Ave
Hamilton, OH 45013
Phone (513) 281-8827
1030 High St
Worthington, OH 43085
Phone (614) 876-7356
Interoperability endpoints
- kapplegate1844174@direct.trinity-health.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.024919 | OH | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2231 N High St
Columbus, OH 43201-1194
Mailing address
3830 Lithopolis Rd NW
Lancaster, OH 43130-9513
Phone (740) 438-2334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 11, 2021.
{
"created_epoch": "1581379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615420800000",
"number": "1801428404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3830 LITHOPOLIS RD NW",
"city": "LANCASTER",
"state": "OH",
"postal_code": "431309513",
"telephone_number": "740-438-2334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2231 N HIGH ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432011194",
"telephone_number": "614-404-8417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "APPLEGATE",
"first_name": "KIMBERLY",
"middle_name": "SUZETTE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-11",
"last_updated": "2021-03-11",
"certification_date": "2021-03-11",
"deactivation_date": "2020-02-14",
"reactivation_date": "2021-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.024919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.