Individual provider Active NPI

Kimberly G Parker-Maloney, APRN/CNP

  • Family Nurse Practitioner
  • Dayton, OH
National Provider Identifier
1942505383
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0028042 Issued in OH
Practice address
7740 Washington Village Dr Ste 110
Dayton, OH 45459-3994
Phone
(937) 439-4145
Fax
(937) 439-4371
NPI assigned
Jan 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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 0028042 OH Primary

Addresses

Primary practice location

7740 Washington Village Dr Ste 110
Dayton, OH 45459-3994

Mailing address

1 Prestige PL Ste 550
Miamisburg, OH 45342-6115
Phone (937) 762-1310

Other practice location 1

3165 Dayton Xenia Rd
Beavercreek, OH 45434-6309
Phone (937) 912-0525

Other names 1

  • Mrs. Kim G Parker-Maloney Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kparkermaloney711888@direct.ketteringhealth.org
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/

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
I20210211001523 OH Practitioner - Nurse Practitioner 3971918541 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians

Practice addresses (Care Compare)

7740 Washngton VLG Dr
Suite 110
Dayton, OH 45459-3994
Phone (937) 439-4145

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
Quality
63.67
Promoting interoperability
100
Improvement activities
40
Cost
74.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
0028042OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kettering Independent Medical Group Inc CurrentSince Feb 1, 2023 Accepting new patients
The Little Clinic of Ohio LLC Family CurrentSince Feb 17, 2021 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814

7740 Washington Village Dr
Ste 110
Dayton, OH 45459
Phone (937) 436-9821

3165 Dayton Xenia Rd
Dayton, OH 45434
Phone (937) 431-8230

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

4000 Miamisburg Centerville Rd
Ste 435
Miamisburg, OH 45342
Phone (937) 384-4511

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

Interoperability endpoints

  • Direct secure messaging: kimberly.parkermaloney@krogerhealth.eclinicaldirectplus.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1295136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1942505383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PRESTIGE PL STE 550",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453426115",
            "telephone_number": "937-762-1310",
            "fax_number": "937-522-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7740 WASHINGTON VILLAGE DR STE 110",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593994",
            "telephone_number": "937-439-4145",
            "fax_number": "937-439-4371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3165 Dayton Xenia Rd",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454346309",
            "country_code": "US",
            "telephone_number": "937-912-0525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER-MALONEY",
        "first_name": "KIMBERLY",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "APRN/CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-16",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0028042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kparkermaloney711888@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "7740 Washington Village Dr Ste 110",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454593994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "7740 Washington Village Dr Ste 110",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454593994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "PARKER-MALONEY",
            "middle_name": "G",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.