KRISTY M. MARRIOTT-DUVALL (NPI# 1912159625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912159625 |
| Entity Type | Individual |
| Full Name | KRISTY M. MARRIOTT-DUVALL |
| Credential | CNP |
| Practice Address |
1601 Brigham Dr Suite 250 Perrysburg OH 43551-7114 |
| Practice Telephone | 4198727745 |
| Practice Fax Number | 4198747758 |
| Mailing Telephone | 4198727745 |
| Mailing Fax Number | 4198747758 |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2013-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN-307522 | OH | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | NP-10328 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2923948 | 05 |
| Street Address |
1601 BRIGHAM DR SUITE 250 |
| City | PERRYSBURG |
| State | OH |
| Zip Code | 43551-7114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194725028 | Carolyn Badenhop | Nurse Practitioner | 1601 Brigham Dr, Suite 250, Perrysburg, OH 43551-7114 | 2005-07-21 |
| 1700312162 | Robert Witte | Physician Assistant | 1601 Brigham Dr, #120, Perrysburg, OH 43551-7114 | 2017-05-04 |
| 1902289028 | Sara Jean Hunter | Nurse Practitioner | 1601 Brigham Dr, Suite 150, Perrysburg, OH 43551-7114 | 2015-07-07 |
| 1811301310 | Kara Lynn Wollenweber | Nurse Practitioner | 1601 Brigham Dr, Suite 250, Perrysburg, OH 43551-7114 | 2014-06-12 |
| 1588091292 | Promedica Central Physicians LLC | Family Medicine | 1601 Brigham Dr, Suite 150, Perrysburg, OH 43551-7114 | 2013-09-27 |
| 1467722249 | Joelyn M Etgen | Nurse Practitioner | 1601 Brigham Dr, Perrysburg, OH 43551-7114 | 2012-01-10 |
| 1457632309 | Promedica Central Physicians | Psychiatry & Neurology | 1601 Brigham Dr, Suite 150, Perrysburg, OH 43551-7114 | 2011-09-06 |
| 1649583139 | Kelley Pruiett | Registered Nurse | 1601 Brigham Dr, Suite 120, Perrysburg, OH 43551-7114 | 2010-07-26 |
| 1437313244 | Jacob N Maciejewski | Pediatrics | 1601 Brigham Dr, Suite 200, Perrysburg, OH 43551-7114 | 2008-07-11 |
| 1457534356 | Promedica Central Physicians, LLC | Otolaryngology | 1601 Brigham Dr, Suite 250, Perrysburg, OH 43551-7114 | 2007-12-13 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1750742953 | Amy Lynn Graham | Nurse Practitioner | 27386 Corrondale Dr, Perrysburg, OH 43551 | 2016-03-15 |
| 1194725028 | Carolyn Badenhop | Nurse Practitioner | 1601 Brigham Dr, Suite 250, Perrysburg, OH 43551-7114 | 2005-07-21 |
| 1104487594 | Kara Guinta | Nurse Practitioner | 6175 Levis Commons Blvd Ste 104, Perrysburg, OH 43551-7269 | 2019-06-26 |
| 1932687530 | Samantha Stevenson | Nurse Practitioner | 3120 Chappel Dr, Perrysburg, OH 43551-7140 | 2018-08-06 |
| 1528577160 | Janet A Masters | Nurse Practitioner | 10540 Fremont Pike, Perrysburg, OH 43551-3356 | 2017-09-27 |
| 1609310762 | Stephanie Blanchard | Nurse Practitioner | 25950 Dixie Hwy Ste 400, Perrysburg, OH 43551-2983 | 2016-12-08 |
| 1598218851 | Kaleigh Henzler | Nurse Practitioner | 12780 Roachton Rd, Perrysburg, OH 43551-1350 | 2016-08-03 |
| 1316345440 | Bryan W. Rauch | Nurse Practitioner | 25950 Dixie Hwy Ste 400, Perrysburg, OH 43551-2983 | 2014-12-05 |
| 1730516824 | Megan Flagg | Nurse Practitioner | 30000 E River Rd, Perrysburg, OH 43551-3429 | 2013-10-03 |
| 1467722249 | Joelyn M Etgen | Nurse Practitioner | 1601 Brigham Dr, Perrysburg, OH 43551-7114 | 2012-01-10 |
| Find all providers in PERRYSBURG | ||||
| City | PERRYSBURG |
| Zip Code | 43551 |
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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.