Active NPI
Kelli S Hopkins, RN
- Registered Nurse
- Newark, OH
National Provider Identifier
1922200021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN-260425
- Practice address
- 13190 Bolen Rd NE
Newark, OH 43055-8813 - Phone
- (740) 763-4055
- NPI assigned
- Jun 1, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN-260425 | OH | Primary |
Addresses
Primary practice location
13190 Bolen Rd NE
Newark, OH 43055-8813
Mailing address
13190 Bolen Rd NE
Newark, OH 43055-8813
Phone (740) 763-4055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2646506 | Medicaid | OH |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-260425 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922200021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13190 BOLEN RD NE",
"city": "NEWARK",
"state": "OH",
"postal_code": "430558813",
"telephone_number": "740-763-4055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13190 BOLEN RD NE",
"city": "NEWARK",
"state": "OH",
"postal_code": "430558813",
"telephone_number": "740-763-4055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOPKINS",
"first_name": "KELLI",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN-260425",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2646506",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newark, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.