KRISTEN E PALM (NPI# 1376195156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376195156 |
| Entity Type | Individual |
| Full Name | KRISTEN E PALM |
| Other Name | KRISTEN E ELY |
| Credential | CNP |
| Practice Address |
1305 Boardman Poland Rd Youngstown OH 44514-1935 |
| Practice Telephone | 3306292300 |
| Mailing Telephone | 3306292300 |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2019-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.19078 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1305 BOARDMAN POLAND RD |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44514-1935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902843899 | George Sivak | Emergency Medicine | 1305 Boardman Poland Rd, Youngstown, OH 44514-1935 | 2006-06-01 |
| 1538304381 | Katy Shurilla | Physician Assistant | 1305 Boardman Poland Rd, Youngstown, OH 44514-1935 | 2008-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003456351 | Apex Neuropsychology Center LLC | Psychologist | 819 Southwestern Run #2, Poland, OH 44514 | 2020-01-14 |
| 1770844540 | Marie Josephine Bosio | Counselor | 7711 Forest Hill Ave, Poland, OH 44514 | 2012-06-07 |
| 1912205709 | Joseph Ivey | Occupational Therapy Assistant | 5781 Sheridan Rd. #5, Poland, OH 44514 | 2011-03-03 |
| 1770816316 | M. Maurine Fogarty | Speech-Language Pathologist | 7067 Tiffany Blvd., Poland, OH 44514 | 2009-09-15 |
| 1346462819 | Millennia Women's Healthcare, Inc | Obstetrics & Gynecology | 1040 South Commons, Suite 100, Poland, OH 44514 | 2007-05-03 |
| 1619090891 | Foundation Health Care, Inc. | Family Medicine | 755 Boardman-canfiled Road, Suite F5, Youngstown, OH 44514 | 2007-04-10 |
| 1770605339 | Luis E. Villaplana M.d.,inc | Internal Medicine | 823 Southwestern Run, Youngstown, OH 44514 | 2007-04-04 |
| 1720109127 | Stevens Optical | Technician/Technologist | 1714 Boardman-poland Rd., Boardman, OH 44514 | 2007-04-03 |
| 1568515385 | Jacqueline Ann Chorey | Counselor | 2250 E Western Reserve Rd, Poland, OH 44514 | 2007-01-18 |
| 1790834190 | James E Leonelli | Obstetrics & Gynecology | 1040 South Commons Place, Youngstown, OH 44514 | 2007-01-09 |
| Find all providers in zip 44514 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043836356 | Amber Thomas | Nurse Practitioner | 2230 Woodland Trce, Youngstown, OH 44515-4828 | 2020-06-23 |
| 1497303168 | Anthea Vyvia Mickens | Nurse Practitioner | 1878 Selma Ave, Youngstown, OH 44504-1302 | 2019-08-27 |
| 1811455348 | Kisha Brady | Nurse Practitioner | 1350 Belmont Ave, Youngstown, OH 44504 | 2019-03-04 |
| 1285105080 | Andrew Dawson | Nurse Practitioner | 883 Boardman Canfield Rd Ste 105, Youngstown, OH 44512 | 2018-12-06 |
| 1689150229 | Lindsey Thome | Nurse Practitioner | 550 Parmalee Ave Ste 400, Youngstown, OH 44510-1602 | 2018-07-17 |
| 1609375500 | Natalia Josephine Rich | Nurse Practitioner | 377 Boardman Poland Rd, Youngstown, OH 44512-4949 | 2018-02-06 |
| 1700300886 | Jillian Marie Zembower | Nurse Practitioner | 1044 Belmont Ave Fl 2, Youngstown, OH 44504-1006 | 2017-07-31 |
| 1578019600 | Mary Karen Safford | Nurse Practitioner | 150 Carter Cir, Youngstown, OH 44512-6630 | 2016-08-29 |
| 1407203714 | William Joseph Rogers | Nurse Practitioner | 1340 Belmont Ave Ste 2200, Youngstown, OH 44504-1131 | 2016-05-17 |
| 1801989546 | Margaret Louise Kerr | Nurse Practitioner | 1011 Boardman-canfield Rd, Youngstown, OH 44512-4226 | 2006-10-02 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44514 |
Please comment or provide details below to improve the information on KRISTEN E PALM.
| 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.