KRISTEN JEAN REILLY (NPI# 1679930325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679930325 |
| Entity Type | Individual |
| Full Name | KRISTEN JEAN REILLY |
| Credential | NP-C |
| Practice Address |
27322 Carronade Dr Perrysburg OH 43551-3368 |
| Mailing Address |
2620 Elm Hill Pike Nashville TN 37214-3108 |
| Practice Telephone | 5673364662 |
| Practice Fax Number | 5673364663 |
| Mailing Telephone | 6154254200 |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2020-03-21 |
| 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.18428 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962728816 | Kristen Conover Reilly | Speech-Language Pathologist | 109 Rustic Rd, Port Jefferson, NY 11777-2032 | 2010-04-18 |
| 1235633132 | Kristen Elizabeth Reilly | Student in an Organized Health Care Education/Training Program | 3333 Burnet Avenue, Mlc 5018, Cincinnati, OH 45229-3039 | 2018-03-23 |
| 1750881330 | Kristen B Reilly | Physical Therapist | 7744 Conner Rd, Powell, TN 37849 | 2018-02-20 |
| Street Address |
27322 CARRONADE DR |
| City | PERRYSBURG |
| State | OH |
| Zip Code | 43551-3368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285668087 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 27322 Carronade Dr, Perrysburg, OH 43551-3368 | 2006-07-10 |
| 1164903373 | Susan Gibbs | Pharmacist | 27322 Carronade Dr, Perrysburg, OH 43551-3368 | 2018-08-25 |
| 1134634587 | Clark Melvin | Pharmacist | 27322 Carronade Dr, Perrysburg, OH 43551-3368 | 2017-12-07 |
| 1194240531 | Carrie Lynn Hoyt | Pharmacist | 27322 Carronade Dr, Perrysburg, OH 43551-3368 | 2017-08-07 |
| 1316477300 | Diana Lee Szymanski | Pharmacist | 27322 Carronade Dr, Perrysburg, OH 43551-3368 | 2017-06-13 |
| 1992736953 | K Mart Corp | Pharmacy | 27322 Carronade Dr, Perrysburg, OH 43551-3368 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067744 | Jacob Burmeister | Psychologist | 1070 Commerce, Building 2, Suite 301, Perrysburg, OH 43551 | 2020-09-13 |
| 1487136727 | Urgent Care Travel, Inc | Clinic/Center | 26415 Warns Road, Lake Township, OH 43551 | 2018-09-04 |
| 1770060527 | Marissa Lynn Dukes | Nurse Practitioner | 3120 Chappel Dr, Perrysburg, OH 43551 | 2018-07-24 |
| 1063999373 | Misty Mary Anne Sheeks-mejri | Registered Nurse | 181 Birchdale Rd, Perrysburg, OH 43551 | 2018-07-20 |
| 1710406160 | Daniel Saffo | Dentist | 27072c Carronade Dr, Perrysburg, OH 43551 | 2017-09-18 |
| 1053835389 | Derrick J Erman | Pharmacist | 10255 Desmond Place, Perrysburg, OH 43551 | 2017-07-28 |
| 1205357167 | Angela Elaine Howard | Counselor | 800 Commerce Dr., Perrysburg, OH 43551 | 2017-06-30 |
| 1306376140 | Hannah Sue Neumeyer | Counselor | 1070 Commerce Drive, Building One, Suite 101, Perrysburg, OH 43551 | 2017-06-14 |
| 1790132199 | Justin Allen Cole | Emergency Medicine | 10421 Scarlet Oak Dr, Perrysburg, OH 43551 | 2016-05-16 |
| 1750742953 | Amy Lynn Graham | Nurse Practitioner | 27386 Corrondale Dr, Perrysburg, OH 43551 | 2016-03-15 |
| Find all providers in zip 43551 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821600347 | Julianne Locke Brubaker | Nurse Practitioner | 275 Twinbrook Dr, Perrysburg, OH 43551-1792 | 2020-08-17 |
| 1770060527 | Marissa Lynn Dukes | Nurse Practitioner | 3120 Chappel Dr, Perrysburg, OH 43551 | 2018-07-24 |
| 1659880037 | Erica C Wolff | Nurse Practitioner | 10677 Fremont Pike Unit C, Perrysburg, OH 43551-3386 | 2017-09-28 |
| 1073912689 | Sarah Nichole Klotz | Nurse Practitioner | 1601 Brigham Dr Ste 250, Perrysburg, OH 43551-7115 | 2014-08-19 |
| 1710235122 | Deanna L Smith | Nurse Practitioner | 25950 Dixie Hwy, Perrysburg, OH 43551-2983 | 2012-08-16 |
| 1679195770 | Stephanie Frank | Nurse Practitioner | 12623 Eckel Junction Rd Ste 2600, Perrysburg, OH 43551-1304 | 2020-05-12 |
| 1023641701 | Megan Ann Savage | Nurse Practitioner | 27386 Carronade Dr, Perrysburg, OH 43551-3368 | 2020-02-20 |
| 1396382594 | Stephanie Lynn Shanks | Nurse Practitioner | 12623 Eckel Junction Rd Ste 2600, Perrysburg, OH 43551-1304 | 2019-12-06 |
| 1508403304 | Melissa Kay Lagrange | Nurse Practitioner | 6175 Levis Commons Blvd Ste 104, Perrysburg, OH 43551-7269 | 2019-11-30 |
| 1023659935 | Mallory White | Nurse Practitioner | 27386 Carronade Dr, Perrysburg, OH 43551-3368 | 2019-10-01 |
| Find all providers in PERRYSBURG | ||||
| City | PERRYSBURG |
| Zip Code | 43551 |
Please comment or provide details below to improve the information on KRISTEN JEAN REILLY.
| 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.