MRS. KRISTY NICOLE PERUSKO


Address: 6559 Wilson Mills Road, 106a, Mayfield Village, OH 44143-3433
Phone: 4404491540

MRS. KRISTY NICOLE PERUSKO (NPI# 1851527022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851527022
Entity Type Individual
Full Name MRS. KRISTY NICOLE PERUSKO
Credential MSN/FAMILY NURSE PRA
Practice Address 6559 Wilson Mills Road
106a
Mayfield Village
OH 44143-3433
Mailing Address 38547 Gold Rush Dr
Willoughby
OH 44094-7695
Practice Telephone 4404491540
Mailing Telephone 4404874844
Enumeration Date 2009-06-02
Last Update Date 2012-09-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
2009002660 OH Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6559 WILSON MILLS ROAD
106A
City MAYFIELD VILLAGE
State OH
Zip Code 44143-3433

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1124408687 Kamila Phillips Registered Nurse 1806 Skyline Dr, Richmond Hts, OH 44143 2015-05-31
1154724300 Alexander Hynd IIi Hearing Aid Equipment 6555 Wilson Mills Road, Mayfield Village, OH 44143 2014-10-02
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1104243187 Joyce Niba Licensed Practical Nurse 440 Richmond Park East C601, Richmond Hts, OH 44143 2014-03-27
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487132312 Dana Michelle Pierce Nurse Practitioner 6559 Wilson Mills Rd, Mayfield Village, OH 44143-6402 2018-08-02
1831695931 Ann Loucks Nurse Practitioner 730 Som Center Rd Ste 240, Mayfield Village, OH 44143-2362 2018-04-05
1346672383 Amber M Rosenkranz Nurse Practitioner 6559 Wilson Mills Rd, 106, Mayfield Village, OH 44143-6402 2013-08-01
1184912073 Kristin Ann Zalar Nurse Practitioner 6559 Wilson Mills Rd, Suite 106, Mayfield Village, OH 44143-6402 2011-07-13

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NPI Name Taxonomy Address Enumeration
1770184681 Madison Baxter Nurse Practitioner 2730 Hyde Park Ave, Cincinnati, OH 45209-2004 2020-11-06
1932700937 Caroline V Murrey Nurse Practitioner 109 Ratcliff Ln, Plain City, OH 43064-8662 2020-11-05
1134720154 Anthonia Ndali Chukwudelunzu Nurse Practitioner 20 Rocky Top Ct, Maple Heights, OH 44137-4760 2020-11-05
1275134801 Abram James Basinger Nurse Practitioner 3956 Sparkhill Dr, Enon, OH 45323-1436 2020-11-02
1780284091 Tana Darniece Williams Nurse Practitioner 513 Harris Rd, Richmond Heights, OH 44143-2539 2020-10-27
1174123335 Heidi Archer Nurse Practitioner 52003 Peck Wadsworth Rd, Wellington, OH 44090-9725 2020-10-27
1114526662 Angelina Fiszlewicz Nurse Practitioner 69 Bayberry Ln, Monroe, OH 45050-2521 2020-10-25
1851990600 Brandy Baker Nurse Practitioner 494 Yorkshire Dr, Newark, OH 43055-1522 2020-10-22
1538768445 Ashley Nicole Morgan Nurse Practitioner 15099 State Route 170, East Liverpool, OH 43920-9598 2020-10-21
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Competitor

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City MAYFIELD VILLAGE
Zip Code 44143

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Dataset Information

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.

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