Individual provider Active NPI

Kristin Mokaren, R.N.

  • Registered Nurse
  • Orrville, OH
National Provider Identifier
1063872448
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
258555 Issued in OH
Practice address
605 Mineral Springs St
Orrville, OH 44667-1130
Phone
(330) 682-1851
Fax
(330) 682-2143
NPI assigned
Feb 29, 2016
Last updated
Feb 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 258555 OH Primary

Addresses

Primary practice location

605 Mineral Springs St
Orrville, OH 44667-1130

Mailing address

4592 Colinas Dr
Medina, OH 44256-6329
Phone (330) 321-1501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
258555OHMDRegistered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1063872448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4592 COLINAS DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442566329",
            "telephone_number": "330-321-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 MINERAL SPRINGS ST",
            "city": "ORRVILLE",
            "state": "OH",
            "postal_code": "446671130",
            "telephone_number": "330-682-1851",
            "fax_number": "330-682-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOKAREN",
        "first_name": "KRISTIN",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-29",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "258555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orrville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.