KRISTEN SUSANNAH KOZAK (NPI# 1942554787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942554787 |
Entity Type | Individual |
Full Name | KRISTEN SUSANNAH KOZAK |
Other Name | KRISTEN HILEMAN |
Credential | CRNP |
Practice Address |
Upmc Bedford Walk In Clinic 420 E. Central Way Bedford PA 15522 |
Mailing Address |
1313 National Hwy Lavale MD 21502-7618 |
Practice Telephone | 8146236917 |
Practice Fax Number | 2403620052 |
Mailing Telephone | 2403620288 |
Mailing Fax Number | 2403620052 |
Enumeration Date | 2012-11-01 |
Last Update Date | 2018-02-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP012885 | PA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
UPMC BEDFORD WALK IN CLINIC 420 E. CENTRAL WAY |
City | BEDFORD |
State | PA |
Zip Code | 15522 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487253308 | Jennifer Ann Leibfreid | Pharmacist | 654 E Pitt St, Bedford, PA 15522 | 2020-10-21 |
1336632579 | Jesse Wolfe | Physical Therapist | 9613 Lincoln Hwy Ste 107, Bedford, PA 15522 | 2018-06-12 |
1730602178 | Jamie Dawn Wilson | Behavior Technician | 3759business 220 N, Suite 101, Bedford, PA 15522 | 2017-07-18 |
1649723529 | Gina Rievel | Physical Therapy Assistant | 320 E Watson Street, Bedford, PA 15522 | 2016-07-27 |
1295184356 | Megan Ann Diehl | Social Worker | 3759 Business Route 220 N., Suite 101, Bedford, PA 15522 | 2016-06-09 |
1275912644 | Alternative Community Resource Program | Public Health or Welfare | 3759 Business Rt. 220, Bedford, PA 15522 | 2015-05-19 |
1588002513 | Gennifer E Washington | Social Worker | 104 Blanche St, Bedford, PA 15522 | 2013-06-12 |
1861753576 | Kelly Nicole Ford | Social Worker | 5157 Business 220, Bedford, PA 15522 | 2012-05-30 |
1932465234 | Amberly Shaffer | Counselor | 3759 Business Rte. 220 N. Suite 101, Bedford, PA 15522 | 2012-04-11 |
1225332240 | Cindy Kaye Kinzey | Counselor | 3759 Business Route 220 North, Bedford, PA 15522 | 2011-01-05 |
Find all providers in zip 15522 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629680814 | Heather Jean Dozois | Nurse Practitioner | 80 Palomino Ln Ste 402, Bedford, NH 03110-6447 | 2020-08-19 |
1760004337 | Pamela Urick | Nurse Practitioner | 33 Darby Ln, Bedford, NH 03110-4517 | 2020-05-17 |
1710513932 | Nirmal Shrestha Deoju | Nurse Practitioner | 2345 Leafy Glen Ct, Bedford, TX 76022-6114 | 2020-03-19 |
1639729445 | Erin Lynn Dedman | Nurse Practitioner | 470 Us-421, Bedford, KY 40006 | 2019-09-13 |
1013495837 | Stephanie Ann Mason | Nurse Practitioner | 2415 Mitchell Rd Ste C, Bedford, IN 47421-4731 | 2018-08-02 |
1386121424 | Sara Elizabeth Kazanowski | Nurse Practitioner | 5 Washington Pl Ste 1a, Bedford, NH 03110-6771 | 2018-07-22 |
1144722539 | Leslie Stevens Kipp | Nurse Practitioner | 1305 Airport Fwy Ste 420, Bedford, TX 76021-6605 | 2018-03-01 |
1407370216 | Laura L Boulter | Nurse Practitioner | 154 Great Rd, Bedford, MA 01730-2725 | 2017-08-02 |
1003339623 | Kathryn Lynn Alto | Nurse Practitioner | 88 Center Rd Ste 250a, Bedford, OH 44146-2711 | 2017-07-25 |
1306399811 | Caitlin Wright | Nurse Practitioner | 2512b Q St, Bedford, IN 47421-4928 | 2016-08-01 |
Find all providers in BEDFORD |
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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.