CHRYSTN MARY PETSAS (NPI# 1124642707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124642707 |
| Entity Type | Individual |
| Full Name | CHRYSTN MARY PETSAS |
| Credential | FNP-C |
| Practice Address |
600 Kendal Dr Oberlin OH 44074-1900 |
| Practice Telephone | 4407750094 |
| Mailing Telephone | 4407750094 |
| Enumeration Date | 2020-05-30 |
| Last Update Date | 2020-05-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0600X |
Registered Nurse Specialization: Gerontology |
026405 | OH | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | NP LICENSE NUMBER | 026405 | 01 |
| Street Address |
600 KENDAL DR |
| City | OBERLIN |
| State | OH |
| Zip Code | 44074-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710972302 | Pamela Lee Cochran | Nurse Practitioner | 600 Kendal Dr, Oberlin, OH 44074-1900 | 2005-09-20 |
| 1992342174 | Kayla Hirschfelder | Occupational Therapist | 600 Kendal Dr, Oberlin, OH 44074-1900 | 2019-12-05 |
| 1104360494 | Diane Loughren | Occupational Therapist | 600 Kendal Dr, Oberlin, OH 44074-1900 | 2016-12-06 |
| 1295186757 | Laura Gienke | Nurse Practitioner | 600 Kendal Dr, Oberlin, OH 44074-1900 | 2016-06-27 |
| 1922476472 | Rebecca Carter | Occupational Therapist | 600 Kendal Dr, Oberlin, OH 44074-1900 | 2015-09-14 |
| 1780978528 | Meagan Waryu | Occupational Therapist | 600 Kendal Dr, Oberlin, OH 44074-1900 | 2011-06-08 |
| 1083840359 | Kendal Northern Ohio | Home Health | 600 Kendal Dr, Oberlin, OH 44074-1900 | 2009-06-01 |
| 1932318276 | Michele Ann Tarsitano-amato | Art Therapist | 600 Kendal Dr, Oberlin, OH 44074-1900 | 2007-05-22 |
| 1790990828 | Paul Stroney | Physical Therapist | 600 Kendal Dr, Oberlin, OH 44074-1900 | 2007-05-11 |
| 1194771543 | Kendal At Oberlin | Skilled Nursing Facility | 600 Kendal Dr, Oberlin, OH 44074-1900 | 2006-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417108382 | Weebles | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 48199 Us Route 20, Oberlin, OH 44074 | 2008-10-09 |
| 1073793915 | Angela Tyus | Home Health Aide | 41 Oberlin Rd, Oberlin, OH 44074 | 2007-11-08 |
| 1346453495 | Harry Francis Pepper IIi | Psychologist | Oberlin Inn - 7 North Main St (suite 122), Oberlin, OH 44074 | 2007-05-07 |
| 1750444832 | Oberlin Pediatrics Inc | Pediatrics | 224 West Lorain St, Suite E, Oberlin, OH 44074 | 2006-12-19 |
| 1003992405 | Wal-mart Stores East, Lp | Technician/Technologist | 46440 Us Route 20, Oberlin, OH 44074 | 2006-10-27 |
| 1760577365 | Joann Marie Nerone | Optometrist | 46440 U.s Route 20, Oberlin, OH 44074 | 2006-10-03 |
| 1063522068 | Jane H Miller | Counselor | 7 North Main St, Suite 121, Oberlin, OH 44074 | 2006-08-30 |
| 1558323667 | Melanie Beth Satterfield | Dentist | 542 W Lorain Street, Oberlin, OH 44074 | 2006-04-04 |
| 1023007655 | Physicians In Family Practice Inc | Family Medicine | 319 W Lorain St, Oberlin, OH 44074 | 2005-10-17 |
| 1912508060 | Lin Urquhart | Pharmacist | 46440 Us Route 20, Oberlin, OH 44074 | 2020-11-05 |
| Find all providers in zip 44074 | ||||
| Taxonomy Code | 163WG0600X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548807589 | Ellen Jane Yoakam | Registered Nurse | 4348 Johnstown Utica Rd, 4348 Johnstown Utica Rd, Utica, OH 43080 | 2019-12-10 |
| 1477054112 | Nancy Anne Walker | Registered Nurse | 588 E Mitchell Ave Apt 4, Cincinnati, OH 45217-1836 | 2018-02-27 |
| 1366950511 | Brenda Dean | Registered Nurse | 7050 Pinecrest St Ne, Canton, OH 44721-2806 | 2018-01-22 |
| 1730695073 | Janice Martha Sewell | Registered Nurse | 11913 Hamlen Ave, Cleveland, OH 44120-1125 | 2017-12-22 |
| 1356701973 | Tracy Englert | Registered Nurse | 10355 State Route 305, Garrettsville, OH 44231-9100 | 2016-02-24 |
| 1649680711 | Cody Mason | Registered Nurse | 209 Fairfield Ave, Newark, OH 43055-4627 | 2014-04-29 |
| 1063839827 | Leigh Obie | Registered Nurse | 5462 Montgomery Square Dr, Kettering, OH 45440-2933 | 2014-03-18 |
| 1922374362 | Anna Marie Regas | Registered Nurse | 1108 Virginia St, Martins Ferry, OH 43935-1947 | 2012-03-30 |
| 1225300049 | Resia Renee Davis | Registered Nurse | 12304 Darlington Ave, Garfield Hts, OH 44125-3749 | 2012-02-09 |
| 1639483357 | Stacie Lynn Alcorn | Registered Nurse | 113 Cliffton Dr, Piqua, OH 45356-4411 | 2010-08-05 |
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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.