AMY M KUKUCKA (NPI# 1588175392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588175392 |
| Entity Type | Individual |
| Full Name | AMY M KUKUCKA |
| Credential | NURSE PRACTITIONER |
| Practice Address |
3455 Mill Run Dr Ste 310 Hilliard OH 43026-9082 |
| Mailing Address |
333 N Summit St Fl 7 Toledo OH 43604-1531 |
| Practice Telephone | 8333582036 |
| Mailing Telephone | 4192526018 |
| Mailing Fax Number | 4195312664 |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2019-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APRN.CNP.021822 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1400 Old County Line Road/ Heartland Care Partners, Westerville, OH 430811002 | 8004271902 | 4195312664 |
| Street Address |
3455 MILL RUN DR STE 310 |
| City | HILLIARD |
| State | OH |
| Zip Code | 43026-9082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164450474 | Lisa Scudder-marker | Nurse Practitioner | 3455 Mill Run Dr Ste 310, Hilliard, OH 43026-9082 | 2006-06-28 |
| 1851875892 | Anitra L Watkins - Bradley | Nurse Practitioner | 3455 Mill Run Dr Ste 310, Hilliard, OH 43026-9082 | 2018-09-15 |
| 1720584105 | Jennifer Yvonne Hough | Nurse Practitioner | 3455 Mill Run Dr Ste 310, Hilliard, OH 43026-9082 | 2018-04-04 |
| 1750882155 | Tracie Jebour | Nurse Practitioner | 3455 Mill Run Dr Ste 310, Hilliard, OH 43026-9082 | 2018-02-22 |
| 1861929416 | Lisa A. Von Bargen | Nurse Practitioner | 3455 Mill Run Dr Ste 310, Hilliard, OH 43026-9082 | 2017-05-15 |
| 1821543943 | Molly Getz | Nurse Practitioner | 3455 Mill Run Dr Ste 310, Hilliard, OH 43026-9082 | 2016-08-18 |
| 1598124562 | Tiana Williams | Registered Nurse | 3455 Mill Run Dr Ste 310, Hilliard, OH 43026-9082 | 2016-02-18 |
| 1548679970 | Tamara Lynn Shipp | Nurse Practitioner | 3455 Mill Run Dr Ste 310, Hilliard, OH 43026-9082 | 2014-08-11 |
| 1568774800 | Rushyal Shyamraj | Internal Medicine | 3455 Mill Run Dr Ste 310, Hilliard, OH 43026-9082 | 2010-07-01 |
| 1831364587 | Kathryn Ann Cunin | Internal Medicine | 3455 Mill Run Dr Ste 310, Hilliard, OH 43026-9082 | 2008-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033728944 | Stephanie Shockey | Nurse Practitioner | 2371 Hilliard Rome Road, Hilliard, OH 43026 | 2020-07-27 |
| 1427690627 | Accelerated Rehabilitation Centers, Ltd | Physical Therapist | 2377 Hilliard Rome Rd, Columbus, OH 43026 | 2019-10-09 |
| 1578115408 | 614 Chiropractic LLC | Chiropractor | 5250 Cemetery Road, Hilliard, OH 43026 | 2019-07-11 |
| 1417412073 | Samantha Marie Sech | Specialist/Technologist | 5493 Old Creek Ln, Hilliard, OH 43026 | 2019-02-07 |
| 1609352400 | Tina M Moy | Licensed Practical Nurse | 3605 Scarberry Dr, Hilliard, OH 43026 | 2018-07-14 |
| 1528560646 | Columbus One Anesthesia LLC | Anesthesiology | 4600 Leap Ct Ste 121, Hilliard, OH 43026 | 2018-03-05 |
| 1154837136 | Kathleen Heitkamp | Registered Nurse | 4674 Britton Parkway, Suite 2200, Hilliard, OH 43026 | 2017-12-28 |
| 1598281610 | Midpoint Associates, LLC | Non-emergency Medical Transport (VAN) | 8411 Morris Rd., Hilliard, OH 43026 | 2017-08-21 |
| 1841654555 | Jackie Palmer | Speech-Language Pathologist | 7825 Roberts Rd, Hilliard, OH 43026 | 2016-04-08 |
| 1639551161 | Elizabeth Benissan-messan | Physician Assistant | 3677 Scioto Darby Rd, Hilliard, OH 43026 | 2015-06-20 |
| Find all providers in zip 43026 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033728944 | Stephanie Shockey | Nurse Practitioner | 2371 Hilliard Rome Road, Hilliard, OH 43026 | 2020-07-27 |
| 1871797696 | Robin Mcfarland Rosselet | Nurse Practitioner | 3249 Walkerview Dr, Hilliard, OH 43026-7187 | 2007-06-14 |
| 1164450474 | Lisa Scudder-marker | Nurse Practitioner | 3455 Mill Run Dr Ste 310, Hilliard, OH 43026-9082 | 2006-06-28 |
| 1093371627 | Jaanki Vashi | Nurse Practitioner | 4523 Cemetery Rd, Hilliard, OH 43026-1102 | 2019-05-20 |
| 1154898666 | Jack William Mounce | Nurse Practitioner | 551616 Us Highway 1, Hilliard, FL 32046-8281 | 2018-11-01 |
| 1851875892 | Anitra L Watkins - Bradley | Nurse Practitioner | 3455 Mill Run Dr Ste 310, Hilliard, OH 43026-9082 | 2018-09-15 |
| 1720584105 | Jennifer Yvonne Hough | Nurse Practitioner | 3455 Mill Run Dr Ste 310, Hilliard, OH 43026-9082 | 2018-04-04 |
| 1689005563 | Elisabetta Canini | Nurse Practitioner | 3855 Trueman Court, Hilliard, OH 43026 | 2013-12-03 |
| 1083048870 | Hiral M Patel | Nurse Practitioner | 4531 Cemetery Rd, Hilliard, OH 43026-1102 | 2013-08-28 |
| 1831533280 | Tara L. Briggeman | Nurse Practitioner | 3651 Ridge Mill Dr, Hilliard, OH 43026 | 2013-04-28 |
| Find all providers in HILLIARD | ||||
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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.