Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Kimberly Dawn Johnson , LPN

Licensed Practical Nurse β€’ Chillicothe, OH

Active NPI 1154055689 Individual Practitioner Female Practitioner
Practice location in NPPES

114 Renick Ave
Chillicothe, OH 456012879

Call 8337621013 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

114 Renick Ave

Chillicothe, OH 456012879

Telephone 8337621013
Organization at the Same NPPES Address or Phone
Talbot Clinical Services Of Ohio Llc Facility NPI 1245635549

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Bainbridge, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Chillicothe and Ohio

257 active clinicians are listed under Licensed Practical Nurse with a practice address in Chillicothe, OH (12,649 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Chillicothe

0% of these 257 clinicians have the CMS telehealth indicator.

0% of these 257 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-12-18
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES OH LPN.163926.MEDS-IV

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Case Manager/Care Coordinator

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Community Health Worker

NUCC Taxonomy Code: 172V00000X

Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
1154055689 (OH)

Secondary Practice Locations

2205 Spargursville Rd

Bainbridge, OH 456129727

Phone: 7408351286

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2025

Case Manager/Care Coordinator

πŸ“
Updated Practice Location January 06, 2023

Registered at 114 RENICK AVE, CHILLICOTHE, OH 456012879 (Tel: 8337621013)

πŸ‘€
Provider Name / Credentials Updated January 06, 2023

Recorded as KIMBERLY JOHNSON, LPN

βœ…
NPI Profile Active July 11, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 11, 2022

Registered at 17273 STATE ROUTE 104, CHILLICOTHE, OH 456019718 (Tel: 7407731141)

πŸ“
Business Mailing Address (Initial Record) July 11, 2022

Registered at 2205 SPARGURSVILLE RD, BAINBRIDGE, OH 456129727 (Tel: 7408351286)

πŸ‘€
Provider Name / Credentials (Initial Record) July 11, 2022

Recorded as KIMBERLY EDWARDS, LPN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2022

Licensed Practical Nurse (license number reported to NPPES: OH LPN.163926.MEDS-IV)

🟒
Initial NPI Registration & Enumeration July 11, 2022

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1154055689
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2022
Last Update: December 18, 2025
Sole Proprietor: Yes

Mailing Address

2205 Spargursville Rd

Bainbridge, OH 456129727

Phone: 7408351286

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.