MRS. KATRINA JO KORSZOLOSKI (NPI# 1417479965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417479965 |
| Entity Type | Individual |
| Full Name | MRS. KATRINA JO KORSZOLOSKI |
| Credential | FNP-C |
| Practice Address |
317 Cleveland St Ripley TN 38063-1205 |
| Mailing Address |
200 Jenny Cv Ripley TN 38063-6188 |
| Practice Telephone | 7312211804 |
| Practice Fax Number | 7312211880 |
| Mailing Telephone | 9018491406 |
| Enumeration Date | 2017-07-16 |
| Last Update Date | 2019-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
23043 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
317 CLEVELAND ST |
| City | RIPLEY |
| State | TN |
| Zip Code | 38063-1205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497999155 | Suzette Carroll Stanley | Nurse Practitioner | 317 Cleveland St, Ripley, TN 38063-1205 | 2009-04-26 |
| 1558609628 | Citizens of Lake County for Health Care, Inc | Clinic/Center | 317 Cleveland St, Ripley, TN 38063 | 2013-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609327246 | Ld&h Specialized Care Services | Preferred Provider Organization | 2260 Us-51, Helen R Tucker Adult Dev Center, Ripley, TN 38063 | 2016-10-19 |
| 1477984508 | Mid-south Convenient Care, Pllc | Family Medicine | 521 Hwy 51 North, Ripley, TN 38063 | 2013-11-27 |
| 1285879577 | The Wellness Center of West Tn Inc | Technician | 171 Tucker Street, Ripley, TN 38063 | 2008-12-16 |
| 1023281185 | Aniko Vedette Campbell | Nurse Practitioner | 79 Highway 51 South, Christian Family Medicine, Ripley, TN 38063 | 2008-04-10 |
| 1275750556 | Annabelle Chua | Physical Therapist | 326 Asbury Rd, Ripley, TN 38063 | 2007-04-19 |
| 1073659058 | Thomas Ross Patterson | Dentist | 500 Hwy 51 South, Ripley, TN 38063 | 2007-01-29 |
| 1144370305 | State of Tennessee | Public Health or Welfare | 500 Highway 51 South, Ripley, TN 38063 | 2007-01-11 |
| 1669479036 | Syed A Zaidi | Specialist | 868 Highway 51 South, Suite 101, Ripley, TN 38063 | 2005-06-30 |
| 1083962633 | James Matthew Harper | Optometrist | 479 S Washington St, Ripley, TN 38063 | 2012-08-29 |
| 1992069538 | Cah Acquisition Company 11 LLC | Surgery | 326 Asbury Ave, Ripley, TN 38063 | 2012-06-28 |
| Find all providers in zip 38063 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548755689 | Lindsay Toler | Nurse Practitioner | 945 Charleston Rd, Ripley, WV 25271-1577 | 2018-06-29 |
| 1356852081 | Victoria Boldman | Nurse Practitioner | 312 Edgewood Cir, Ripley, WV 25271-1622 | 2017-10-20 |
| 1659775732 | Jennifer Richardson | Nurse Practitioner | 1005a City Ave N, Ripley, MS 38663-1414 | 2014-10-17 |
| 1598048894 | Stacie Dianne Holloway | Nurse Practitioner | 1331 City Ave N, Ripley, MS 38663-1102 | 2011-09-22 |
| 1548578859 | Erica Elaine Conant | Nurse Practitioner | 562 Charleston Dr, Ripley, WV 25271-1533 | 2010-09-21 |
| 1497999155 | Suzette Carroll Stanley | Nurse Practitioner | 317 Cleveland St, Ripley, TN 38063-1205 | 2009-04-26 |
| 1659445492 | Brenda Shelton | Nurse Practitioner | 749s Line St, Ripley, MS 38663-2811 | 2006-11-20 |
| 1871055632 | Brittany Ann Proudfit | Nurse Practitioner | 500 Highway 51 S, Ripley, TN 38063-4583 | 2019-04-02 |
| 1225511272 | Nina Michelle Cavitt | Nurse Practitioner | 313 Cleveland St, Ripley, TN 38063-1205 | 2018-09-14 |
| 1326526807 | Jami Kay Clay | Nurse Practitioner | 111 Court St S, Ripley, WV 25271-1408 | 2018-08-06 |
| Find all providers in RIPLEY | ||||
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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.