KRISTEN J MIZUMOTO (NPI# 1225388689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225388689 |
| Entity Type | Individual |
| Full Name | KRISTEN J MIZUMOTO |
| Credential | NP |
| Practice Address |
5930 Heisley Rd Neighboring Mentor OH 44060-1834 |
| Practice Telephone | 4406393509 |
| Practice Fax Number | 4403522040 |
| Mailing Telephone | 4406393509 |
| Mailing Fax Number | 4403522040 |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2014-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
COA13309 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2362429 | 05 |
| Street Address |
5930 HEISLEY RD NEIGHBORING |
| City | MENTOR |
| State | OH |
| Zip Code | 44060-1834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275588808 | Neighboring | Clinic/Center | 5930 Heisley Rd, Mentor, OH 44060-1834 | 2006-05-23 |
| 1588077184 | Ginger L Yanchar | Social Worker | 5930 Heisley Rd, Mentor, OH 44060-1834 | 2014-06-11 |
| 1568712503 | Meghan A Bileci | Social Worker | 5930 Heisley Rd, Mentor, OH 44060-1834 | 2012-09-18 |
| 1164771028 | Jaclyn Mach | Social Worker | 5930 Heisley Rd, Mentor, OH 44060-1834 | 2012-09-06 |
| 1881983344 | Tracey Denise Filipasic | Counselor | 5930 Heisley Rd, Mentor, OH 44060-1834 | 2011-04-05 |
| 1740587336 | Wendy J Kelley | Social Worker | 5930 Heisley Rd, Mentor, OH 44060-1834 | 2011-02-17 |
| 1285874081 | Jan A Hairston | Counselor | 5930 Heisley Rd, Mentor, OH 44060-1834 | 2009-03-06 |
| 1922286848 | Robert Joseph Burns | Psychologist | 5930 Heisley Rd, Mentor, OH 44060-1834 | 2008-02-01 |
| 1558544601 | Susan Marie Hayes-alghusain | Counselor | 5930 Heisley Rd, Mentor, OH 44060-1834 | 2007-12-12 |
| 1306041405 | Nanci Pane | Social Worker | 5930 Heisley Rd, Mentor, OH 44060 | 2007-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093364143 | Pamela Adams | Technician | 6079 Center St, Mentor, OH 44060 | 2019-09-10 |
| 1255800298 | Brittani Joy Lumpkin | Community/Behavioral Health | 9220 Mentor Road., Mentor, OH 44060 | 2018-11-20 |
| 1043726763 | Sharon Bollinger | Counselor | 7232 Tyler Blvd., Mentor, OH 44060 | 2017-12-18 |
| 1255863635 | Mentor Health and Rehabilitation Center, Inc. | Skilled Nursing Facility | 8151 Norton Pkwy, Mentor, OH 44060 | 2017-04-03 |
| 1144695933 | Kirsten Lorek | Specialist/Technologist | 8400 Paddock Ct, Mentor, OH 44060 | 2015-12-06 |
| 1346638848 | Darlean Williams | Licensed Practical Nurse | 6477 Center Street, Mentor High School, Mentor, OH 44060 | 2015-01-06 |
| 1316357130 | Kathryn Arnette Romo | Speech-Language Pathologist | 6451 Center Street, Mentor Exempted Village Schools, Mentor, OH 44060 | 2014-05-01 |
| 1730599705 | Marianne. P. Kostiha | Registered Nurse | 6451 Center St., Mentor Public Schools, Mentor, OH 44060 | 2014-04-30 |
| 1558788190 | Jeanne Marie Markusic | Physical Therapist | 7687 Ellington Pl, Mentor, OH 44060 | 2014-03-20 |
| 1477979391 | Center for Advanced Vein Care LLC | Emergency Medicine | 7200 Mentor Avenue, Mentor, OH 44060 | 2014-03-17 |
| Find all providers in zip 44060 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154861268 | Emily Mikhail | Nurse Practitioner | 7232 Justin Way, Mentor, OH 44060-4881 | 2017-03-08 |
| 1174078638 | Jenniviere Homitz-daniels | Nurse Practitioner | 8701 Mentor Ave, Mentor, OH 44060-6103 | 2016-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184707 | Joanna Sue Tricaso-torrence | Nurse Practitioner | 3567 Reserve Commons Dr Ste 100, Medina, OH 44256-5344 | 2020-11-05 |
| 1427658368 | Greta Katherine Heckmann | Nurse Practitioner | 2508 Beechmont Ave Apt 43, Cincinnati, OH 45230-1240 | 2020-10-29 |
| 1083213078 | Smtia Sonali Carpenter | Nurse Practitioner | 9509 Knarwood Ct, Pickerington, OH 43147-8106 | 2020-10-20 |
| 1255939054 | Jessica Kincaid | Nurse Practitioner | 3921 Clareridge Dr Unit B, Toledo, OH 43623-3380 | 2020-10-14 |
| 1801493531 | Kasey Zink | Nurse Practitioner | 5934 Creek Rd Se, Washington Court House, OH 43160-8778 | 2020-10-06 |
| 1861099806 | Taylor Buck | Nurse Practitioner | 158 Rock Creek Dr, Delaware, OH 43015-2260 | 2020-10-02 |
| 1598371296 | Peace of Mind Therapeutics LLC | Nurse Practitioner | 5170 Pebble Brook Dr, Englewood, OH 45322-3632 | 2020-09-17 |
| 1003421827 | Rachel Bird | Nurse Practitioner | 2900 Presidential Dr Ste 100, Beavercreek, OH 45324-6502 | 2020-09-09 |
| 1740894880 | Angel M Davis | Nurse Practitioner | 11210 Navajo Ln Apt 203, Parma Heights, OH 44130-9045 | 2020-09-05 |
| 1548873680 | Nicollette Pizzoferrato | Nurse Practitioner | 600 W Goodale St Apt 261, Columbus, OH 43215-1904 | 2020-08-28 |
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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.