KELLY CREVISTON (NPI# 1164817193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164817193 |
Entity Type | Individual |
Full Name | KELLY CREVISTON |
Credential | NP-C |
Practice Address |
970 S Prospect St Marion OH 43302-6225 |
Practice Telephone | 7403839293 |
Mailing Telephone | 7403839293 |
Enumeration Date | 2015-04-06 |
Last Update Date | 2015-04-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
COA.17069-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
970 S PROSPECT ST |
City | MARION |
State | OH |
Zip Code | 43302-6225 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598756546 | Parminder Bobby Singh | Internal Medicine | 970 S Prospect St, Marion, OH 43302-6225 | 2005-10-31 |
1578059630 | Ronald Litman | Nurse Practitioner | 970 S Prospect St, Marion, OH 43302-6225 | 2018-07-02 |
1306343512 | Cody Jordan Harris | Physician Assistant | 970 S Prospect St, Marion, OH 43302-6225 | 2018-04-12 |
1871033779 | Parminder B. Singh M.d., Inc. | Internal Medicine | 970 S Prospect St, Marion, OH 43302-6225 | 2017-02-27 |
1265978373 | Rick Anthony Stephenson | Physician Assistant | 970 S Prospect St, Marion, OH 43302-6225 | 2017-01-12 |
1568683514 | Marianne Kay Curry | Dietitian, Registered | 970 S Prospect St, Marion, OH 43302-6225 | 2007-05-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467094284 | Nichole Mattix | Case Management | 1199 Delaware Avenue, Marion, OH 43302 | 2019-10-14 |
1770138208 | Peyton Feeney | Nurse Practitioner | 1065 Delaware Ave. Ste. A, Marion, OH 43302 | 2019-08-01 |
1609350891 | Progressive Living, Inc | Home Health | 3523 Pleasant Hill R.d., Marion, OH 43302 | 2018-09-24 |
1962989400 | Adena Pennington | Community Health Worker | 320 Executive Drive, Marion, OH 43302 | 2018-07-27 |
1407372030 | Kelli Ann Love | Licensed Practical Nurse | 559 Uncapher Ave, Marion, OH 43302 | 2017-08-15 |
1063947513 | Netcare Usa LLC | In Home Supportive Care | 1275 Lake Blvd, 6, Marion, OH 43302 | 2017-04-21 |
1003350448 | Ethan Thomas Craig | Social Worker | 1199 Delaware Ave Ste 107, 195 N Grant Ave, Columbus, Oh 43215, Marion, OH 43302 | 2016-12-04 |
1326590043 | Occupational Health Centers of Ohio, Pa, Co | Clinic/Center | 1300 Marion Agosta Road, Marion, OH 43302 | 2016-10-28 |
1295115459 | Bradley Neil Casto | Hearing Instrument Specialist | 864 East Center St, Marion, OH 43302 | 2015-06-03 |
1881003630 | Billie Roach | Home Health Aide | 182 Barkswood Rd., Marion, OH 43302 | 2014-08-06 |
Find all providers in zip 43302 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790391977 | Pamela Jane Clarida | Nurse Practitioner | 1001 E Illinois St, Marion, IL 62959-3711 | 2020-09-22 |
1194330845 | Jamie Jones Hayden | Nurse Practitioner | 134 Willow Springs Rd, Marion, VA 24354-6700 | 2020-09-10 |
1992331714 | Andrea Williams | Nurse Practitioner | 55 Mckenzie Cv, Marion, AR 72364-2661 | 2020-03-13 |
1073159984 | Angela Hamill | Nurse Practitioner | 924 Ar 77, Marion, AR 72364 | 2019-11-26 |
1902466220 | Aimee Wiggins Martin | Nurse Practitioner | 1649 W Highway 76, Marion, SC 29571-6621 | 2019-06-18 |
1801358163 | William Wayne Thomas II | Nurse Practitioner | 2808 Outer Dr, Marion, IL 62959-5207 | 2019-04-04 |
1033670062 | Era Louise Mattingly | Nurse Practitioner | 11522 White Pine Ave, Marion, IL 62959-8379 | 2019-03-31 |
1598223414 | Jeanni A. Gerwin | Nurse Practitioner | 1125 Ellen Kay Dr Ste A, Marion, OH 43302-6358 | 2019-03-10 |
1619431780 | Lisa Dawn Powell | Nurse Practitioner | 2921 Hwy 77 S Ste 12-13, Marion, AR 72364-2367 | 2019-01-23 |
1285110551 | Marcie Ann Ellington | Nurse Practitioner | 518 W Gum St, Marion, KY 42064-1516 | 2018-07-19 |
Find all providers in MARION |
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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.