Individual provider Active NPI

Kimberly Suzette Applegate, FNP

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1801428404
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.024919 Issued in OH
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.

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
APRN.CNP.024919OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Theoria Medical CurrentSince Feb 22, 2021 Accepting new patients
Mobile Wound Healing LLC CurrentSince Sep 9, 2024 Accepting new patients
Healogics Specialty Physicians of Ohio, LLC CurrentSince Feb 1, 2022 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

  • Direct secure messaging: kapplegate1844174@direct.trinity-health.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.024919 OH Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.