Lisa Marie Kosley, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

RN.348879 Issued in OH

Practice address

2857 Riviera Dr Ste 202
Fairlawn, OH 44333-3469

Phone

(330) 606-9561

Fax

(866) 354-6211

NPI assigned

Jul 12, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lisa Marie Gobrogge Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• Community Behavioral Nursing Services, Inc

  • Home Health Agency
  • Fairlawn, OH
  • NPI 1285942458
  NPD Authorized official

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1215459151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2857 RIVIERA DR STE 202",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333469",
            "telephone_number": "330-606-9561",
            "fax_number": "866-354-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2857 RIVIERA DR STE 202",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333469",
            "telephone_number": "330-606-9561",
            "fax_number": "866-354-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSLEY",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OH",
            "license": "RN.348879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "GOBROGGE",
            "middle_name": "MARIE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erin M Kolonich, MA, CCC-SLP
• Michael A Kolonich, COTAL
• Dmitri Kolychev, M.D.
• Ann R Kooken, M.D.
• Karen E Koplin, CNP
• James George Kotapish, Jr., D.D.S.,M.S.
• Rachel Krakora, APRN, PMHNP
• Ilana Kari Kramer, DDS
• Valerie Ann Lamberton Kreider, PCC/S, LICDC
• Lynette Marie Kreidler, LPCC

• Home Health Registered Nurse in Fairlawn, OH
• Providers in Fairlawn, OH by specialty
• Home Health Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.