Individual provider Active NPI

Kathleen A Lee-Oles, CNP

  • Family Nurse Practitioner
  • Canton, OH
National Provider Identifier
1841521564
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA11164NP Issued in OH
Practice address
1459 Superior Ave NE
Canton, OH 44705-1964
Phone
(330) 588-4892
Fax
(330) 588-4895
NPI assigned
Jan 20, 2010
Last updated
Jul 31, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA11164NP OH Primary

Addresses

Primary practice location

1459 Superior Ave NE
Canton, OH 44705-1964

Mailing address

PO Box 932100
Cleveland, OH 44193-0008
Phone (216) 472-2730

Other identifiers 1

IdentifierTypeStateIssuer
3122463MedicaidOH

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
I20110308000190 OH Practitioner - Nurse Practitioner 1658553912 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Physician Services LLCGroup PAC ID 0143366591, 97 clinicians

Practice addresses (Care Compare)

110 Dublin Dr
Dover, OH 44622-7805
Phone (330) 364-9088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA11164NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Union Hospital Association CurrentSince Jul 12, 2017 Accepting new patients
Union Physician Services, LLC CurrentSince Jul 6, 2020 Accepting new patients
RC Hastedt MD Inc Current Accepting new patients
Community Pathologists Inc Current Accepting new patients
The Union Hospital Association CurrentSince Jul 12, 2017 Accepting new patients

Locations

110 Dublin Dr
Dover, OH 44622
Phone (330) 340-8038

110 Dublin Dr
#B
Dover, OH 44622
Phone (330) 343-0753

205 Hospital Dr
Dover, OH 44622
Phone (330) 343-3335

659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1841521564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932100",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930008",
            "telephone_number": "216-472-2730",
            "fax_number": "216-472-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1459 SUPERIOR AVE NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447051964",
            "telephone_number": "330-588-4892",
            "fax_number": "330-588-4895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE-OLES",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-20",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA11164NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3122463",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.