Active NPI
Nicole Denise Kinney
- Home Health Aide
- Cincinnati, OH
National Provider Identifier
1902415524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 3505 Stacey Ave
Cincinnati, OH 45207-1617 - Phone
- (513) 225-9829
- NPI assigned
- Jul 29, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | OH | ||
| Home Health Aide | 374U00000X | OH | Primary |
Addresses
Primary practice location
3505 Stacey Ave
Cincinnati, OH 45207-1617
Mailing address
1604 Potter PL
Cincinnati, OH 45207-1016
Phone (513) 225-9829
Other practice location 1
2621 Victory Pkwy
Cincinnati, OH 45206-1754
Phone (513) 751-7747
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 264825505 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | MicrosoftWord | Health Information Exchange (HIE) |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771891200000",
"number": "1902415524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 POTTER PL",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452071016",
"telephone_number": "513-225-9829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3505 STACEY AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452071617",
"telephone_number": "513-225-9829"
}
],
"practiceLocations": [
{
"address_1": "2621 Victory Pkwy",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452061754",
"country_code": "US",
"telephone_number": "513-751-7747",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KINNEY",
"first_name": "NICOLE",
"middle_name": "DENISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-29",
"last_updated": "2026-02-24",
"certification_date": "2026-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "264825505",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "MicrosoftWord",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1604 Potter Pl",
"city": "Cincinnati",
"state": "OH",
"country_code": "US",
"postal_code": "452071016",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.