Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Diane Kallenbach, NURSEPRACTITIONER

Individual provider Registered Nurse · NPI 1922605005

Diane Kallenbach, NURSEPRACTITIONER is a Nurse Practitioner in Blue Ash, Ohio. Qualified in 2019, 7 years ago. Practices with Geriatric Providers and Hospitalists Inc, a 15-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
7
Licensed in
OH
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

10999 Reed Hartman Hwy Ste 215
Blue Ash, OH 45242-8301
Phone: (513) 745-7320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.026278 (OH)
Registered Nurse Taxonomy 163W00000X · Licence 378963 (OH)

Record details

NPI number1922605005
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedOctober 2, 2020
Last updated in NPPESJanuary 19, 2024
Certification dateJanuary 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Geriatric Providers And Hospitalists Inc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Blue Ash