KIMBERLY S DILTZ (NPI# 1255463048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255463048 |
| Entity Type | Individual |
| Full Name | KIMBERLY S DILTZ |
| Credential | CNS |
| Practice Address |
3130 N County Road 25a Ste 103 Troy OH 45373-1337 |
| Practice Telephone | 9377730428 |
| Practice Fax Number | 9377730439 |
| Mailing Telephone | 9377730428 |
| Mailing Fax Number | 9377730439 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2013-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | NS04904 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2494877 | 05 | |
| OH | CARESOURCE | 311176809028 | 01 |
| Street Address |
3130 N COUNTY ROAD 25A STE 103 |
| City | TROY |
| State | OH |
| Zip Code | 45373-1337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417956772 | Michael Todd Boggs | Family Medicine | 3130 N County Road 25a, Troy, OH 45373-1337 | 2005-07-19 |
| 1417504630 | Kerri Marie Starkey | Massage Therapist | 3130 N County Road 25a, Troy, OH 45373-1337 | 2019-08-22 |
| 1033762562 | Kara Sue Bruskotter | Nurse Practitioner | 3130 N County Road 25a, Troy, OH 45373-1337 | 2019-07-23 |
| 1003477506 | Christine L Asher | Registered Nurse | 3130 N County Road 25a, Troy, OH 45373-1337 | 2019-06-25 |
| 1386203966 | Danielle Morgan Wheeler | Physician Assistant | 3130 N County Road 25a, Troy, OH 45373-1337 | 2019-06-07 |
| 1881173607 | Alaine C. Kirby | Nurse Practitioner | 3130 N County Road 25a, Troy, OH 45373-1337 | 2018-08-13 |
| 1750871075 | Sarah Flora | Pharmacist | 3130 N County Road 25a, Troy, OH 45373-1337 | 2018-05-11 |
| 1083103667 | Brian Allen Haynes | Pharmacist | 3130 N County Road 25a, Troy, OH 45373-1337 | 2018-05-09 |
| 1790292191 | Michael E. Barhorst | Pharmacist | 3130 N County Road 25a, Troy, OH 45373-1337 | 2018-01-08 |
| 1386156115 | Seth Gullett | Nurse Anesthetist, Certified Registered | 3130 N County Road 25a, Troy, OH 45373-1337 | 2017-11-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248336 | Julie M Anderson | Home Health Aide | 74 Tamworth Road, Troy, OH 45373 | 2020-09-05 |
| 1376007682 | Community Housing of Darke, Miami & Shelby Counties, Inc | Peer Specialist | 1100 Wayne Ave Suite 4001, Troy, OH 45373 | 2019-01-31 |
| 1861982423 | Omni Wellness Group LLC | Family Medicine | 1149 Experiment Farm Road, Troy, OH 45373 | 2018-05-18 |
| 1336638758 | Kristin Dolph | Counselor | 305 Public Sq, Troy, OH 45373 | 2018-05-02 |
| 1912425448 | Wanda Denise Hudson | Counselor | 550 Sumitt Ave, Troy, OH 45373 | 2017-09-05 |
| 1538685383 | Cassandra Ann Zerkle | Occupational Therapist | 2000 W. Stainfield Rd., Troy, OH 45373 | 2017-08-14 |
| 1891215224 | Michele Josefovsky | Nurse Practitioner | 31 S Stanfield Rd Ste 301, Troy, OH 45373 | 2017-06-27 |
| 1295271104 | Alison Moyer | Specialist/Technologist | 1852 Towne Park Dr Apt 6b, Troy, OH 45373 | 2017-01-17 |
| 1982151148 | Amanda Falldorf | Nurse Practitioner | 1843 W Main St, Troy, OH 45373 | 2016-09-06 |
| 1588093314 | Quad Med LLC | Clinic/Center | 1447 E. Main Street, Troy, OH 45373 | 2013-11-02 |
| Find all providers in zip 45373 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184261687 | Lisa Dianne Pitcairn | Clinical Nurse Specialist | 3130 N County Road 25a Rm 2005, Troy, OH 45373-1337 | 2019-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801410030 | Julie Simon | Clinical Nurse Specialist | 9500 Euclid Ave # P3-112, Cleveland, OH 44195-0001 | 2020-06-03 |
| 1033732375 | Susan Wg Batten | Clinical Nurse Specialist | 5946 Sweetwater Ct, Toledo, OH 43614-1023 | 2020-05-21 |
| 1821633439 | Jerri Mccombs | Clinical Nurse Specialist | 71200and1/2 Kagg Hill Rd, St Clairsville, OH 43950 | 2019-11-07 |
| 1518523125 | Elena Lozko Stock | Clinical Nurse Specialist | 581 Olentangy Woods Dr, Columbus, OH 43235-3495 | 2019-05-20 |
| 1992214787 | Laureen Gwynne Jones | Clinical Nurse Specialist | 2571 Good Hope New Holland Rd, New Holland, OH 43145-9625 | 2017-09-25 |
| 1932585650 | Krystal Washington | Clinical Nurse Specialist | 319 N Harrison St, New Madison, OH 45346-9775 | 2015-08-04 |
| 1427454115 | Angela Bonner | Clinical Nurse Specialist | 1423 Aven Dr, Columbus, OH 43227-3263 | 2014-11-07 |
| 1437553377 | Crystal L Lambing | Clinical Nurse Specialist | 970 Wyndham Dr, Boardman, OH 44512 | 2014-10-21 |
| 1801219233 | Thomas Justin Huffer | Clinical Nurse Specialist | 610 Northridge Rd., Circleville, OH 43113-0578 | 2014-01-21 |
| 1235483413 | Susan Charlene Nesbitt | Clinical Nurse Specialist | 68518 Bannock Rd, Box 504, Saint Clairsville, OH 43950-9736 | 2012-11-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.