Active NPI
Kristina Rose Armbruster, L.I.S.W.-S, R.N.
- Clinical Social Worker
- Cuyahoga Falls, OH
National Provider Identifier
1073604229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.0700356-SUPV
- Practice address
- 2664 Archwood PL
Cuyahoga Falls, OH 44221-2453 - Phone
- (330) 999-2548
- Fax
- (833) 599-1682
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 418385 | OH | |
| Clinical Social Worker | 1041C0700X | I.0700356-SUPV | OH | Primary |
Addresses
Primary practice location
2664 Archwood PL
Cuyahoga Falls, OH 44221-2453
Mailing address
2664 Archwood PL
Cuyahoga Falls, OH 44221-2453
Phone (330) 999-2548
Other practice location 1
2820 W Market St Ste 110
Fairlawn, OH 44333-4061
Phone (330) 835-4000
Other practice location 2
1013 Portage TRL
Ste 7
Cuyahoga Falls, OH 44221-3047
Phone (330) 999-2548
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160122000914 | OH | Practitioner - Clinical Social Worker | 9931402070 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 418385 | OH | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Positive Transformation, LLC | Current | Accepting new patients |
Locations
1013 Portage Trl
Ste 7
Cuyahoga Falls, OH 44221
Phone (330) 999-2548
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- Cuyahoga Falls, OH
- NPI 1124584875
OH
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600992000000",
"number": "1073604229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2664 ARCHWOOD PL",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "442212453",
"telephone_number": "330-999-2548",
"fax_number": "833-599-1682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2664 ARCHWOOD PL",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "442212453",
"telephone_number": "330-999-2548",
"fax_number": "833-599-1682"
}
],
"practiceLocations": [
{
"address_1": "2820 W Market St Ste 110",
"address_purpose": "LOCATION",
"city": "Fairlawn",
"state": "OH",
"postal_code": "443334061",
"country_code": "US",
"telephone_number": "330-835-4000",
"fax_number": "330-835-4040",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1013 PORTAGE TRL",
"address_2": "STE 7",
"address_purpose": "LOCATION",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "442213047",
"country_code": "US",
"telephone_number": "330-999-2548",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARMBRUSTER",
"first_name": "KRISTINA",
"middle_name": "ROSE",
"name_prefix": "Mrs.",
"credential": "L.I.S.W.-S, R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2020-09-25",
"certification_date": "2020-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "418385",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.0700356-SUPV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cuyahoga Falls, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.