Individual provider Active NPI

Kristina Maria Hartman, LPN

  • Licensed Practical Nurse
  • Lima, OH
National Provider Identifier
1831799774
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN.116040MEDS Issued in OH
Practice address
1235 W Market St
Lima, OH 45805-2728
Phone
(567) 289-6060
Fax
(419) 812-2377
NPI assigned
Oct 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN.116040MEDS OH Primary

Addresses

Primary practice location

1235 W Market St
Lima, OH 45805-2728

Mailing address

9 Chesapeake PLZ
Chesapeake, OH 45619-1003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPN.116040MEDSOHMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Group Home, LLC CurrentSince Oct 8, 2025 Accepting new patients
Phoenix Group Home, LLC PastSince Nov 17, 2024 Accepting new patients
Spero Health of Ohio, LLC PastSince Jul 29, 2024 Accepting new patients

Locations

9 Chesapeake Plz
Chesapeake, OH 45619
Phone (740) 297-6019

1235 W Market St
Lima, OH 45805
Phone (419) 222-1188

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/pathihc/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1831799774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CHESAPEAKE PLZ",
            "city": "CHESAPEAKE",
            "state": "OH",
            "postal_code": "456191003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 W MARKET ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052728",
            "telephone_number": "567-289-6060",
            "fax_number": "419-812-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "KRISTINA",
        "middle_name": "MARIA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.116040MEDS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.