Individual provider Active NPI

Katherine Lynn Flanders, N.P.

  • Family Nurse Practitioner
  • Centerville, OH
National Provider Identifier
1972558435
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA 04344-NP Issued in OH
Practice address
1235 E Alex Bell Rd
Centerville, OH 45459-2658
Phone
(937) 435-6400
Fax
(937) 435-4793
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 COA 04344-NP OH Primary

Addresses

Primary practice location

1235 E Alex Bell Rd
Centerville, OH 45459-2658

Mailing address

1235 E Alex Bell Rd
Centerville, OH 45459-2658
Phone (937) 435-6400

Other identifiers 1

IdentifierTypeStateIssuer
2633252MedicaidOH

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
I20050511000740 OH Practitioner - Nurse Practitioner 5395785091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Evaluation and Management Center of Ohio IncGroup PAC ID 2365475480, 11 clinicians

Practice addresses (Care Compare)

1550 Yankee Park PL
Suite a
Centerville, OH 45458-1838
Phone (937) 439-4949

Hospital & facility affiliations

  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
  • Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA 04344-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Evaluation & Management Center of Ohio, Inc. Family CurrentSince Feb 13, 2016 Accepting new patients
Comprehensive Geriatric Care, LLC PastSince May 1, 2020 Accepting new patients
Osama Al-Samkari M.D. Inc Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Mvhe Inc Past Accepting new patients
Geriatric Care Consultants Past Accepting new patients

Locations

Dept L2433
Columbus, OH 43260

405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200

1550 Yankee Park Pl
Ste A
Dayton, OH 45458
Phone (937) 439-4949

1512 Yankee Park Pl
Dayton, OH 45458
Phone (937) 434-0099

1550 Yankee Park Pl
Washington Township, OH 45458
Phone (937) 223-2911

Organizations & group practices 6

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 2

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1972558435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 E ALEX BELL RD",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454592658",
            "telephone_number": "937-435-6400",
            "fax_number": "937-435-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 E ALEX BELL RD",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454592658",
            "telephone_number": "937-435-6400",
            "fax_number": "937-435-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANDERS",
        "first_name": "KATHERINE",
        "middle_name": "LYNN",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA 04344-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2633252",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

Verify at the official NPI Registry.