Katelyn Elizabeth Kinkead, APRN-CNP, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

APRN.CNP.0029671 Issued in OH

Practice address

470 Silver LN Ste B
Gahanna, OH 43230-4575

Phone

(614) 933-0980

Fax

(614) 933-0334

NPI assigned

Mar 18, 2021

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

Other identifiers 1

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

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

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.

• Children'S Community Practices, LLC

  • Pediatrics Physician
  • Mansfield, OH
  • NPI 1386031896
  Medicare reassignment NPD
• Gahanna Pediatrics, LLC

  • Pediatrics Physician
  • Gahanna, OH
  • NPI 1982776159
  NPD (past)
• Pediatric Academic Association, Inc.

  • Pediatrics Physician
  • Columbus, OH
  • NPI 1063419943
  NPD (past)

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1841876174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 SILVER LN STE B",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432304575",
            "telephone_number": "614-933-0980",
            "fax_number": "614-933-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 SILVER LN STE B",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432304575",
            "telephone_number": "614-933-0980",
            "fax_number": "614-933-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINKEAD",
        "first_name": "KATELYN",
        "middle_name": "ELIZABETH",
        "credential": "APRN-CNP, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "APRN.CNP.0029671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0458958",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whitney C. Khaira, PA-C
• Kellie Nicole Kiernan, L.P.C., A.T-R
• Ella King, MS, FNP-BC, RN
• Jamie Lynn King, PT, DPT
• Megan A King, DO
• Adam Kirkland, MD
• Anna Makenzie Kirkpatrick, PT
• Yasushi Kisanuki, M.D.
• Marissa-Ashley Kiss, MS, FNP-C
• Marissa Anne Kleilein, PT, DPT

• Pediatric Nurse Practitioner in Gahanna, OH
• Providers in Gahanna, OH by specialty
• Pediatric Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.