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KIMBERLY MICHELLE ICHRIST AG-ACNP NPI 1730604265


NPI Information

NPI: 1730604265
Provider Name: KIMBERLY MICHELLE ICHRIST, AG-ACNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Organization: OSU NEUROSCIENCE CENTER, LLC

PECOS Registration: Yes

Address:
460 W 10TH AVE
COLUMBUS, OH
ZIP 43210
Phone: (614) 293-4969
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Kimberly Michelle Ichrist, AG-ACNP is an acute care nurse practitioner in Columbus, OH with 7 years of experience. Kimberly Michelle Ichrist, AG-ACNP NPI is 1730604265. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

460 W 10TH AVE
COLUMBUS, OH
ZIP 43210-240
Phone: (614) 293-4969
Fax: (614) 293-6111

The NPI 1730604265 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/5/2017 and was last updated on 8/23/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2100XNurse PractitionerAcute CareAPRN.CNP.021438OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.