KELLY CREVISTON


Address: 970 S Prospect St, Marion, OH 43302-6225
Phone: 7403839293

KELLY CREVISTON (NPI# 1164817193) 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) 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

Taxonomy

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

Office Location

Street Address 970 S PROSPECT ST
City MARION
State OH
Zip Code 43302-6225

Providers in the same location

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

Providers in the same zip code

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 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
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

Competitor

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City MARION
Zip Code 43302

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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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