Active NPI
Kristen Kilburg, MSN, APRN, CNP
- Family Nurse Practitioner
- Westlake, OH
National Provider Identifier
1235610536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 023317
- Practice address
- 2237 Crocker Rd
Westlake, OH 44145-7605 - Phone
- (440) 385-7357
- NPI assigned
- Aug 24, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 023317 | OH | Primary |
Addresses
Primary practice location
2237 Crocker Rd
Westlake, OH 44145-7605
Mailing address
27100 Chardon Road
Richmond Heights, OH 44143-1116
Other practice location 1
27100 Chardon Rd
Richmond Hts, OH 44143-1116
Phone (440) 585-6500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023317 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uh Regional Hospitals | Current | Accepting new patients |
Locations
3315 N Ridge Rd E
Ste 700A
Ashtabula, OH 44004
Phone (440) 484-2130
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": "1535068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556150400000",
"number": "1235610536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27100 CHARDON ROAD",
"city": "RICHMOND HEIGHTS",
"state": "OH",
"postal_code": "441431116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2237 CROCKER RD",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441457605",
"telephone_number": "440-385-7357"
}
],
"practiceLocations": [
{
"address_1": "27100 Chardon Rd",
"address_purpose": "LOCATION",
"city": "Richmond Hts",
"state": "OH",
"postal_code": "441431116",
"country_code": "US",
"telephone_number": "440-585-6500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KILBURG",
"first_name": "KRISTEN",
"credential": "MSN, APRN, CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-24",
"last_updated": "2019-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "023317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westlake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; 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.