1942421466 NPI number — KACEY DAWN KERSTING CNM, WHNP, FNP

Table of content: KACEY DAWN KERSTING CNM, WHNP, FNP (NPI 1942421466)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942421466 NPI number — KACEY DAWN KERSTING CNM, WHNP, FNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KERSTING
Provider First Name:
KACEY
Provider Middle Name:
DAWN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
CNM, WHNP, FNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942421466
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/11/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5810 SAMSTONE CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BLUE ASH
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45242-5753
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
513-403-4333
Provider Business Mailing Address Fax Number:
855-975-2404

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
999 18TH ST STE 3000
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DENVER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80202-2449
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
888-731-8994
Provider Business Practice Location Address Fax Number:
888-732-8119
Provider Enumeration Date:
05/01/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LW0102X , with the licence number:  COA.11705NP , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: APRN.CNP.11705 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 176B00000X , with the licence number: NM-08939 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)