KASEY MERCURIO (NPI# 1073986873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073986873 |
| Entity Type | Individual |
| Full Name | KASEY MERCURIO |
| Credential | CNP |
| Practice Address |
2725 Lincoln St E Canton OH 44707-2769 |
| Mailing Address |
Po Box 80690 Canton OH 44708-0690 |
| Practice Telephone | 3304542000 |
| Practice Fax Number | 3304546184 |
| Mailing Telephone | 3304798705 |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2016-12-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
APRN.CNP.17849 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2725 LINCOLN ST E |
| City | CANTON |
| State | OH |
| Zip Code | 44707-2769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326007501 | Irwin Lilenfield | Family Medicine | 2725 Lincoln St E, Canton, OH 44707-2769 | 2006-03-17 |
| 1942765953 | Jodi Lynn Johnson | Nurse Practitioner | 2725 Lincoln St E, Canton, OH 44707 | 2019-02-04 |
| 1003305855 | Shakeilah Carelle Burns | Nurse Practitioner | 2725 Lincoln St E, Canton, OH 44707-2769 | 2018-05-08 |
| 1114373016 | Emily Reusser | Dentist | 2725 Lincoln St E, Canton, OH 44707-2769 | 2016-05-10 |
| 1720410194 | Michelle A Nesbitt | Dental Hygienist | 2725 Lincoln St E, Canton, OH 44707-2769 | 2013-08-07 |
| 1093073546 | Rachel Lester | Registered Nurse | 2725 Lincoln St E, Canton, OH 44707 | 2012-05-02 |
| 1932433240 | Michelle D. Husted | Counselor | 2725 Lincoln St E, Canton, OH 44707-2769 | 2009-09-21 |
| 1407012206 | Rebecca J Richards | Social Worker | 2725 Lincoln St E, Canton, OH 44707-2769 | 2008-07-31 |
| 1528227105 | Richard D Watkins Canton Community Clinic Inc | Clinic/Center | 2725 Lincoln St E, Canton, OH 44707-2769 | 2008-06-09 |
| 1962602573 | Linda Kimble | Registered Nurse | 2725 Lincoln St E, Canton, OH 44707-2769 | 2007-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649781717 | Linda Wilt | Licensed Practical Nurse | 620market Ave. S., Canton, OH 44707 | 2017-10-17 |
| 1558872622 | Michele Rose Strongoli-scott | Registered Nurse | 1620 Market Ave S., Canton, OH 44707 | 2017-10-17 |
| 1366972234 | Terri Sue Clendenin | Home Health Aide | 1317 Mattie St Sw, Canton, OH 44707 | 2017-06-14 |
| 1215467311 | Draya K Ellis | Community Health Worker | 408 9th Street Sw, Canton, OH 44707 | 2017-06-13 |
| 1720537780 | Individual | Preferred Provider Organization | 1111 Gonder Avenue Se, Canton, OH 44707 | 2016-09-30 |
| 1962958512 | Individual | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1111 Gonder Av Se, Canton, OH 44707 | 2016-09-01 |
| 1184070526 | Mj Harvey Development, LLC | Day Training, Developmentally Disabled Services | 804 Marion Ave Sw, Canton, OH 44707 | 2016-05-04 |
| 1164898516 | Erica Marie Brown | Occupational Therapy Assistant | 1620 Market Ave., South, Canton, OH 44707 | 2015-08-19 |
| 1508256439 | Kenny Mcclelland | Military/U.S. Coast Guard Transport | 903 Alan Page Dr Se # Apt1, Canton, OH 44707 | 2015-01-30 |
| 1295143550 | Susan Elaine Ball | Technician | 908 6th St Sw, Canton, OH 44707 | 2014-07-30 |
| Find all providers in zip 44707 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447872965 | Gagan Preet Kaur Dhaliwal | Nurse Practitioner | 45418 Glengarry Blvd, Canton, MI 48188-3001 | 2020-05-07 |
| 1295387066 | Amber Dabelstein | Nurse Practitioner | 6131 Fairborn Dr, Canton, MI 48187-5624 | 2019-07-11 |
| 1619533536 | Murshed Nawaz | Nurse Practitioner | 543 Foster St, Canton, TX 75103-1905 | 2019-05-15 |
| 1871018903 | James Adam Carr | Nurse Practitioner | 6613 Chadwick Dr, Canton, MI 48187-1639 | 2017-08-09 |
| 1699296871 | Marcelina Reyes Socie | Nurse Practitioner | 2050 N Haggerty Rd Ste 100, Canton, MI 48187-3796 | 2017-06-28 |
| 1427418409 | Telehealthone, LLC | Nurse Practitioner | 1301 East Peace Street, Canton, MS 39046-7900 | 2016-03-03 |
| 1730788647 | Gwendolyn Shumaker | Nurse Practitioner | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-10-21 |
| 1316553175 | Victoria Watt | Nurse Practitioner | 1320 Mercy Dr Nw, Canton, OH 44708-2641 | 2020-09-17 |
| 1164077434 | Chetna Patel | Nurse Practitioner | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2019-08-05 |
| 1811557515 | Sara M Fichter | Nurse Practitioner | 1320 Mercy Dr Nw, Canton, OH 44708-2641 | 2019-06-17 |
| Find all providers in CANTON | ||||
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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.