Individual provider Active NPI

Kristen Kilburg, MSN, APRN, CNP

  • Family Nurse Practitioner
  • Westlake, OH
National Provider Identifier
1235610536
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
023317 Issued in OH
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

Updated by the provider on Apr 25, 2019

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

Specialties & licenses 1

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
023317OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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

Verify at the official NPI Registry.