Individual provider Active NPI

Emily Dianne Treffinger, CNP

  • Pediatric Nurse Practitioner
  • Kettering, OH
National Provider Identifier
1992013700
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
COA.07920-NP Issued in OH
Practice address
1074 Patterson Rd
Kettering, OH 45420-1522
Phone
(937) 258-6330
NPI assigned
Sep 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X COA.07920 OH
Pediatric Nurse Practitioner 363LP0200X COA.07920-NP OH Primary

Addresses

Primary practice location

1074 Patterson Rd
Kettering, OH 45420-1522

Mailing address

2132 E 3Rd St
Dayton, OH 45403-1991
Phone (937) 528-6850

Other identifiers 1

IdentifierTypeStateIssuer
3108943MedicaidOH

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
I20121011000813 OH Practitioner - Nurse Practitioner 4486803285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Wright State University Boonshoft School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Centers of Greater DaytonGroup PAC ID 7012094386, 18 clinicians

Practice addresses (Care Compare)

1323 W 3Rd St
Dayton, OH 45402-6714
Phone (937) 461-4336

2132 E 3Rd St
Dayton, OH 45403-1991
Phone (937) 208-6850

2351 Stanley Ave
Dayton, OH 45404-1201
Phone (937) 228-0990

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.07920OHMDAdult Health Nurse Practitioner
COA.07920-NPOHMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of Greater Dayton Current Accepting new patients
Community Health Centers of Greater Dayton CurrentSince Sep 24, 2012 Accepting new patients
Community Health Centers of Greater Dayton CurrentSince Sep 24, 2012 Accepting new patients
Community Health Centers of Greater Dayton Past Accepting new patients

Locations

2132 E 3rd St
Dayton, OH 45403
Phone (937) 208-6850

1323 W 3rd St
Dayton, OH 45402
Phone (937) 461-4336

2351 Stanley Ave
Dayton, OH 45404
Phone (937) 228-0990

6255 Chambersburg Rd
Huber Heights, OH 45424
Phone (937) 233-7141

1074 Patterson Rd
Kettering, OH 45420
Phone (937) 254-3988

5 Alexandersville Rd
Miamisburg, OH 45342
Phone (937) 247-0304

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: emily.treffinger.p1@direct.chcgd.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1992013700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132 E 3RD ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454031991",
            "telephone_number": "937-528-6850",
            "fax_number": "937-586-9736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1074 PATTERSON RD",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454201522",
            "telephone_number": "937-258-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREFFINGER",
        "first_name": "EMILY",
        "middle_name": "DIANNE",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-15",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "COA.07920",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "COA.07920-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3108943",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

Verify at the official NPI Registry.