KELLI SUZANNE RISER (NPI# 1891091062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891091062 |
Entity Type | Individual |
Full Name | KELLI SUZANNE RISER |
Other Name | KELLI MCNAMARA |
Credential | CNP |
Practice Address |
4335 Alum Creek Dr Ste 200 Columbus OH 43207 |
Mailing Address |
5450 Frantz Rd Ste 360 Dublin OH 43016-4141 |
Practice Telephone | 6147889500 |
Enumeration Date | 2011-02-04 |
Last Update Date | 2019-06-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | RN.287692-COA1 | OH | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
COA.11248-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0052635 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
3555 Olentangy River Rd, Suite 1080, Columbus, OH 432143912 | 6142688164 | 6142688406 |
417 Hill Rd N Ste 101, Pickerington, OH 43147 | 6145336400 |
Street Address |
4335 ALUM CREEK DR STE 200 |
City | COLUMBUS |
State | OH |
Zip Code | 43207 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982651220 | Barbara Alice Wynkoop | Family Medicine | 4335 Alum Creek Dr Ste 200, Columbus, OH 43207 | 2006-05-30 |
1811420342 | Rahim Mangalji | Family Medicine | 4335 Alum Creek Dr Ste 200, Columbus, OH 43207-4520 | 2017-04-11 |
1154701647 | Laura Ann Hullinger | Nurse Practitioner | 4335 Alum Creek Dr Ste 200, Columbus, OH 43207 | 2015-06-01 |
1437543964 | Lauren Elizabeth Hamman | Family Medicine | 4335 Alum Creek Dr Ste 200, Columbus, OH 43207-4520 | 2015-03-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366947913 | Mary Elise Hanks | Internal Medicine | Osumc/nationwide Children's Med-ped Residency Program, 1405 S. High St, Columbus, OH 43207 | 2018-03-27 |
1699279323 | Timothy Ming-li Pian | Internal Medicine | Internal Medicine-pediatric Residency Program, 1405 S. High Street, Columbus, OH 43207 | 2018-03-19 |
1093245763 | Royce Scott | Home Health | 254 E. Barthman Ave, Columbus, OH 43207 | 2017-06-15 |
1497207930 | Vernon C Murphy Jr. | Counselor | 1430 S High St Suite 112, Columbus, OH 43207 | 2016-11-01 |
1669825931 | Ayamba Roselyn Tanyi | Social Worker | 1791 Alum Creek Drive, Columbus, OH 43207 | 2016-07-21 |
1629421268 | Tiffany Dawn Hinkle | Counselor | 1430 S. High St, Suite 112, Columbus, OH 43207 | 2016-07-19 |
1457714933 | Matthew Isaac Lyons | Internal Medicine | 1405 S. High St., Osu/nch Internal Medicine-pediatric Residency Prog., Columbus, OH 43207 | 2016-04-01 |
1053712976 | A Plus Children's Academy Community School | Local Education Agency (LEA) | 110 Obetz Rd., Columbus, OH 43207 | 2014-09-10 |
1407274301 | William Hamilton Marshall V | Student in an Organized Health Care Education/Training Program | 1405 South High St, South High Primary Care Center, Columbus, OH 43207 | 2014-03-29 |
1912249665 | Laura Romcevich | Internal Medicine | 700 Children's Dr. Ed650a, Osu/nch Internal Medicine-pediatric Residency Prog., Columbus, OH 43207 | 2013-03-20 |
Find all providers in zip 43207 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518566900 | Melissa Nameth | Nurse Practitioner | 3003 Cortona Rd, Columbus, OH 43204-4898 | 2020-10-18 |
1962019901 | Joshua Peltier | Nurse Practitioner | 2657 Summit St, Columbus, OH 43202-2434 | 2020-09-24 |
1891302949 | Lindsay Baughman | Nurse Practitioner | 5866 Regency Dr, Columbus, IN 47203-4551 | 2020-09-23 |
1114530706 | Renee Dawn Holloway-vaughan | Nurse Practitioner | 1317 Antietam Dr, Columbus, GA 31907-6887 | 2020-08-25 |
1063024354 | Nathaniel Z Raidel | Nurse Practitioner | 5699 Sandalwood Blvd, Columbus, OH 43229-3420 | 2020-08-19 |
1174134332 | Hailey Lyn Holman | Nurse Practitioner | 5141 W Broad St Ste 130, Columbus, OH 43228-1984 | 2020-08-12 |
1508475989 | Kara Shroff | Nurse Practitioner | 1127 Dublin Rd, Columbus, OH 43215-1005 | 2020-07-30 |
1265050553 | Mary Hoobler | Nurse Practitioner | 5059 N High St, Columbus, OH 43214-1589 | 2020-07-13 |
1417575200 | Candice Kilbarger | Nurse Practitioner | 2329 Keep Pl, Columbus, OH 43204-4989 | 2020-07-08 |
1295351872 | Christina Cotterman | Nurse Practitioner | 700 Children Dr, Columbus, OH 43205 | 2020-06-19 |
Find all providers in COLUMBUS |
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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.