Individual provider Active NPI

Kristina Rose Armbruster, L.I.S.W.-S, R.N.

  • Clinical Social Worker
  • Cuyahoga Falls, OH
National Provider Identifier
1073604229
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0700356-SUPV Issued in OH
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

Updated by the provider on Sep 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
418385OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Positive Transformation, LLC CurrentSince Mar 5, 2019 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.

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

Verify at the official NPI Registry.