MRS. KATRINA KAY TIPTON (NPI# 1396048229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396048229 |
| Entity Type | Individual |
| Full Name | MRS. KATRINA KAY TIPTON |
| Credential | NP-C |
| Practice Address |
4100 W 3rd St Dayton OH 45428-9000 |
| Practice Telephone | 3799723734 |
| Mailing Telephone | 3799723734 |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2020-09-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AG07180272 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4100 W 3RD ST |
| City | DAYTON |
| State | OH |
| Zip Code | 45428-9000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861496549 | Andrew T Su | Internal Medicine | 4100 W 3rd St, Dayton, OH 45428-9000 | 2005-06-09 |
| 1578162038 | Olivia Marie Falter | Audiologist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-10-25 |
| 1295334084 | Sarah M Miller | Music Therapist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-10-22 |
| 1366049918 | Chadwick Ryan Watiker | Social Worker | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-10-07 |
| 1174137301 | Danielle Marie Pike | Psychologist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-09-04 |
| 1497368856 | Dinah Callender | Registered Nurse | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-08-26 |
| 1801405352 | Alice Wei Ho | Pharmacist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-07-29 |
| 1801413356 | Sarah Teresa Hierath | Pharmacist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-07-01 |
| 1942823349 | Sloane Rudolf | Optometrist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-05-20 |
| 1720600331 | James Douglas Boodt | Student in an Organized Health Care Education/Training Program | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-05-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407414527 | Punyawat Laohakanjanasiri | Dentist | Dayton Va Medical Center/dental Services, 4100 W Third, Dayton, OH 45428 | 2019-06-04 |
| 1942716303 | John Korea Lee | Pharmacist | 4100 W. 3rd Street, Attn: Pharmacy Call Center 408pcc, Dayton, OH 45428 | 2017-12-21 |
| 1366876138 | Amber J Enterline | Pharmacist | 4100 W 3rd Street, Attn Pharmacy, Dayotn, OH 45428 | 2013-08-28 |
| 1114155793 | Jeffrey Michael Munn | Dentist | 4100 West 3rd St., Dayton V.a. Medical Center, Dayton, OH 45428 | 2009-06-23 |
| 1558516724 | Tawnyell Nikko Culpepper | Social Worker | 4100 Va Medical Center, Social Work Department Suite 122, Trotwood, OH 45428 | 2008-12-01 |
| 1255586376 | Prasad V Venkat | Physical Therapist | 4100 W.third Street, Dayton, OH 45428 | 2008-11-18 |
| 1457435687 | Reba E Crowell | Nurse Practitioner | 4100 West 3rd Street, Dayton, OH 45428 | 2006-10-24 |
| 1386728632 | Alicia Joann Weekes-johnson | Counselor | 4100 W Third St. Mhlc Bldg 302, Veterans Administration Medical Center, Dayton, OH 45428 | 2006-10-24 |
| 1497843049 | Margaret Irene Kruckemeyer | Nurse Practitioner | 4100 West Third Street (117), Va Medical Center, Dayton, OH 45428 | 2006-10-10 |
| 1003902545 | Mohamed Elmouelhi | Internal Medicine | 4100 W.third St., Dayton Vamc (11c), Dayton, OH 45428 | 2006-10-04 |
| Find all providers in zip 45428 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952871840 | Kelly Michelle Douple | Nurse Practitioner | 5724 Price Hill Pl, Dayton, OH 45459-1428 | 2018-12-04 |
| 1760966287 | Mary Elizabeth Hill | Nurse Practitioner | 300 Forest Ave Ste 100, Dayton, OH 45405-4500 | 2018-09-20 |
| 1508898172 | Jennifer M Tandoc | Nurse Practitioner | 6125 N Main St, Dayton, OH 45415-3110 | 2006-07-06 |
| 1023053071 | Sharon G Anderson | Nurse Practitioner | 455 Chickamauga Dr, 104, Dayton, TN 37321-4286 | 2006-06-16 |
| 1649870486 | Cynthia Lorraine Gray | Nurse Practitioner | 2350 Miami Valley Dr Ste 500, Dayton, OH 45459-4780 | 2020-10-30 |
| 1457965642 | Amanda Danielle Boykin | Nurse Practitioner | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-09-03 |
| 1801413307 | Nadia Haller | Nurse Practitioner | 33 W Rahn Rd, Dayton, OH 45429-2219 | 2020-06-30 |
| 1205464435 | Taulinah E Knox | Nurse Practitioner | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-04-01 |
| 1225673130 | Vicky L Peck | Nurse Practitioner | 33 W Rahn Rd, Dayton, OH 45429-2219 | 2019-11-14 |
| 1104475243 | Jennifer Lea Burnett | Nurse Practitioner | 1012 S 3rd St, Dayton, WA 99328-1696 | 2019-09-11 |
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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.