KERRI LESLIE KREMER (NPI# 1265403588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265403588 |
| Entity Type | Individual |
| Full Name | KERRI LESLIE KREMER |
| Other Name | KERRI LESILIE ROSS |
| Credential | FNP-C, RNFA |
| Practice Address |
2500 Canyon Rd Bldg B Bullhead City AZ 86442-8624 |
| Mailing Address |
1343 N Alma School Rd Ste 160 Chandler AZ 85224-5901 |
| Practice Telephone | 9287639290 |
| Practice Fax Number | 9287637628 |
| Mailing Telephone | 4809631853 |
| Mailing Fax Number | 4809631854 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2017-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
RN00095775 | WA | Nursing Service Providers |
| N | 164W00000X | Licensed Practical Nurse | RN00095775 | WA | Nursing Service Providers |
| N | 363L00000X | Nurse Practitioner | AP60045990 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP60045990 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LABOR & INDUSTRIES | 174428 | 01 |
| WA | 9611559 | 05 |
| Street Address |
2500 CANYON RD BLDG B |
| City | BULLHEAD CITY |
| State | AZ |
| Zip Code | 86442-8624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538162276 | Cesar K Katigbak | Family Medicine | 2500 Canyon Rd Bldg B, Bullhead City, AZ 86442-8624 | 2005-05-26 |
| 1992233704 | Ryan Timothy Hunley | Family Medicine | 2500 Canyon Rd Bldg B, Bullhead City, AZ 86442-8624 | 2017-05-24 |
| 1417306978 | Sandra Reyes-mendoza | Nurse Practitioner | 2500 Canyon Rd Bldg B, Bullhead City, AZ 86442-8624 | 2016-06-06 |
| 1114367364 | Ludane Tonie Simmons | Family Medicine | 2500 Canyon Rd Bldg B, Bullhead City, AZ 86442-8624 | 2013-07-02 |
| 1295838605 | Randy Chadwell | Physician Assistant | 2500 Canyon Rd Bldg B, Bullhead City, AZ 86442-8624 | 2006-09-07 |
| 1962429878 | Bullhead City Clinic Corp | Obstetrics & Gynecology | 2500 Canyon Rd Bldg B, Bullhead City, AZ 86442-8624 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346869039 | Westcare Arizona I, Inc. | Substance Abuse Rehabilitation Facility | 1160 Agate Rd, Bullhead City, AZ 86442 | 2020-04-13 |
| 1710544895 | Assured Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 1665 Rainbow Dr Ste 7, Bullhead City, AZ 86442 | 2019-05-23 |
| 1306304845 | Muna Basnet Bhattarai | Nurse Practitioner | 3015 Hway 95 Ste 109, Bullhead City, AZ 86442 | 2019-03-04 |
| 1225508757 | Desert Springs Urgent Care, PC | Clinic/Center | 3706 Highway 95 Ste 1, Bullhead City, AZ 86442 | 2018-11-27 |
| 1750863114 | Susenie Delva Pierre | Nurse Practitioner | 3003 Hwy. 95, Suite 101, Bullhead City, AZ 86442 | 2018-09-02 |
| 1255819736 | Phoenix Cancer and Blodd Disorder Treatment Institute | Internal Medicine | 967 Hancock Rd 133, Bullhead City, AZ 86442 | 2018-08-06 |
| 1487140539 | Akdhc, LLC | Internal Medicine | 2771 Silver Creek Rd Ste 120, Bullhead City, AZ 86442 | 2018-07-02 |
| 1225543036 | Tri-state Sinus Center | Otolaryngology | 2020 Silver Creek, B101, Bullhead City, AZ 86442 | 2017-12-04 |
| 1396297123 | Henry Sy | Pharmacist | 2360 Az-95, Bullhead, AZ 86442 | 2016-10-27 |
| 1861854267 | Joshua Springs Operations LLC | Health Maintenance Organization | 2995 Desert Sky Blvd, Bullhead City, AZ 86442 | 2016-03-24 |
| Find all providers in zip 86442 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760921 | Valerie Pong | Nurse Practitioner | 530 Karen Way, Bullhead City, AZ 86442-6177 | 2020-11-03 |
| 1306304845 | Muna Basnet Bhattarai | Nurse Practitioner | 3015 Hway 95 Ste 109, Bullhead City, AZ 86442 | 2019-03-04 |
| 1750863114 | Susenie Delva Pierre | Nurse Practitioner | 3003 Hwy. 95, Suite 101, Bullhead City, AZ 86442 | 2018-09-02 |
| 1922501378 | Brian Ellis Paronto | Nurse Practitioner | 3735 Highway 95, Bullhead City, AZ 86442-8199 | 2018-03-13 |
| 1972979755 | Martin A Rapp | Nurse Practitioner | 3750 Hway 95, Bullhead City, AZ 86442-8218 | 2015-08-17 |
| 1477931798 | Bullhead Family Medical LLC | Nurse Practitioner | 2840 Hway 95 Ste 420, Bullhead City, AZ 86442-3721 | 2015-05-07 |
| 1548510811 | Valley View Physician Practices LLC | Nurse Practitioner | 3641 Hway 95, Bullhead City, AZ 86442-8151 | 2012-09-14 |
| 1144468398 | Kim C. Ford | Nurse Practitioner | 2500 Canyon Rd, Building B Unite 2, Bullhead City, AZ 86442 | 2009-01-27 |
| 1427148246 | Nancy Dooling | Nurse Practitioner | 813 Hancock Rd, Bullhead City, AZ 86442-5032 | 2006-10-13 |
| 1003854605 | Jo Ann Forristal | Nurse Practitioner | 3735 Hway 95, Bullhead City, AZ 86442-8199 | 2006-06-04 |
| Find all providers in BULLHEAD CITY | ||||
| City | BULLHEAD CITY |
| Zip Code | 86442 |
Please comment or provide details below to improve the information on KERRI LESLIE KREMER.
| 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.