FAST RESPONSE NURSE PRACTITIONERS, LLC (NPI# 1720530181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720530181 |
| Entity Type | Organization |
| Organization Name | FAST RESPONSE NURSE PRACTITIONERS, LLC |
| Practice Address |
15800 Detroit Ave Lakewood OH 44107-3748 |
| Mailing Address |
P.o. Box 72464 Cleveland OH 44194-0002 |
| Practice Telephone | 2162268700 |
| Practice Fax Number | 2162213171 |
| Mailing Telephone | 4408955056 |
| Mailing Fax Number | 4403332935 |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2017-08-14 |
| Authorized Official Name | GEORGE KHURI (MEMBER) |
| Authorized Official Telephone | 2162268700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0193892 | 05 |
| Street Address |
15800 DETROIT AVE |
| City | LAKEWOOD |
| State | OH |
| Zip Code | 44107-3748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669465142 | Kristina Marie Kovach | Podiatrist | 15800 Detroit Ave, Lakewood, OH 44107-3748 | 2005-08-30 |
| 1417567405 | Molly Marina Mulcahy | Nurse Practitioner | 15800 Detroit Ave, Lakewood, OH 44107-3748 | 2020-08-04 |
| 1144881384 | Sherri Whitaker | Nurse Practitioner | 15800 Detroit Ave, Lakewood, OH 44107-3748 | 2019-06-27 |
| 1992286603 | Erika Nicole Young | Nurse Practitioner | 15800 Detroit Ave, Lakewood, OH 44107-3748 | 2018-08-22 |
| 1477082857 | Sara Ridley Counseling Practice, LLC | Clinic/Center | 15800 Detroit Ave, Lakewood, OH 44107-3748 | 2017-06-08 |
| 1669851812 | Michelle Hisako Haldeman | Podiatrist | 15800 Detroit Ave, Lakewood, OH 44107-3748 | 2015-05-20 |
| 1982008561 | Sarah Catherine Kusek | Nurse Practitioner | 15800 Detroit Ave, Lakewood, OH 44107-3748 | 2014-10-10 |
| 1184973521 | Roseann Marie Messina | Midwife, Lay | 15800 Detroit Ave, Suite D, Lakewood, OH 44107-3748 | 2012-08-30 |
| 1912287624 | Ko Nurse Practitioner, LLC | Physician Assistant | 15800 Detroit Ave, Lakewood, OH 44107-3748 | 2011-08-25 |
| 1760459978 | George M Khuri | Internal Medicine | 15800 Detroit Ave, Ste 400, Lakewood, OH 44107-3748 | 2006-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326522210 | Lawrence M Roth | Social Worker | 14701 Detroit Ave Ste 363, Lakewood, OH 44107 | 2018-09-18 |
| 1376065730 | Fareeha Khan | Internal Medicine | 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 | 2017-07-07 |
| 1912433756 | Julie Ann Foucher-urcuyo | Family Medicine | 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 | 2017-05-11 |
| 1225563661 | Elizabeth Ann Rainbolt | Family Medicine | 14601 Detroit Ave Fl 2, Lakewood, OH 44107 | 2017-04-24 |
| 1255882551 | Kristen Murray | Dietitian, Registered | 14900 Detroit Ave Ste 207, Lakewood, OH 44107 | 2016-10-21 |
| 1265828131 | David Thomas Jonke | Dentist | 15640 Madison Ave., Lakewood, OH 44107 | 2015-04-08 |
| 1760885941 | Debra Watkins | Home Health Aide | 1510 Newman Ave Apt 406, Lakewood, OH 44107 | 2014-10-02 |
| 1396155198 | Monica M Owen | Occupational Therapist | 9200 Biddulph Rd., Brooklyn, OH 44107 | 2014-05-01 |
| 1730512229 | Marsha Elaine Favors | Licensed Practical Nurse | 1448 Lakeland Ave, Lakewood, OH 44107 | 2013-08-20 |
| 1508130006 | Ruth Rachel Raciniewski | Counselor | 15200 Madison Avenue, Lakewood, OH 44107 | 2012-03-01 |
| Find all providers in zip 44107 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245767466 | Karen Lee Keller | Nurse Practitioner | 5903 Hayter Ave, Lakewood, CA 90712-1047 | 2017-05-18 |
| 1407390735 | Annette Eric D'souza | Nurse Practitioner | 500 River Avenue Unit 140, Lakewood, NJ 08701 | 2016-12-06 |
| 1194177188 | Marilyn Rosca | Nurse Practitioner | 12234 Renville St, Lakewood, CA 90715-1605 | 2016-07-01 |
| 1073903282 | Housecalls of The Falls | Nurse Practitioner | 15526 Hilliard Rd, Lakewood, OH 44107-3813 | 2015-01-26 |
| 1528081957 | Lindsey Ekland | Nurse Practitioner | 7424 Bridgeport Way W Ste 301, Lakewood, WA 98499-8135 | 2006-07-26 |
| 1366468811 | Sandra Jorgensen | Nurse Practitioner | 16313 Lake Ave, Lakewood, OH 44107-1250 | 2006-07-15 |
| 1548879844 | Rowena Houston | Nurse Practitioner | 3300 E South St Ste 206, Lakewood, CA 90805-4590 | 2020-07-23 |
| 1841822343 | Michelle Lynn Juckett | Nurse Practitioner | 685 River Ave, Lakewood, NJ 08701-5288 | 2020-02-12 |
| 1144881384 | Sherri Whitaker | Nurse Practitioner | 15800 Detroit Ave, Lakewood, OH 44107-3748 | 2019-06-27 |
| 1871081737 | Fatimah Aisha Johnson | Nurse Practitioner | 1526 Cole Blvd Ste 300, Lakewood, CO 80401-3410 | 2018-04-26 |
| Find all providers in LAKEWOOD | ||||
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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.