Lisa Kosse, RN

Primary specialty

Long-Term Care Clinical Nurse SpecialistTaxonomy code 364SL0600X

License

RN319347 Issued in OH

Practice address

1050 Neal Zick Rd
Willard, OH 44890-9288

Phone

(419) 935-6511

NPI assigned

Jun 9, 2021

Last updated

Jun 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1275100083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TIMOTHY AVE",
            "city": "WILLARD",
            "state": "OH",
            "postal_code": "448901632",
            "telephone_number": "419-933-3058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 NEAL ZICK RD",
            "city": "WILLARD",
            "state": "OH",
            "postal_code": "448909288",
            "telephone_number": "419-935-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSSE",
        "first_name": "LISA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SL0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Long-Term Care",
            "state": "OH",
            "license": "RN319347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Michael Kaple, D.C.
• Marvin Kazmin, M.D.
• Michelle M Kessler
• Philip Dale Keysor, O.D.
• Casey Nichoel King
• Punita P Kothari, M.D.
• Susan M Krebs, CNP
• Chelsea Kreuter, PMHNP-BC
• Eric Kuivinen, M.D.
• Carley Suzanne Lambert, QMHS

• Clinical Nurse Specialist in Willard, OH
• Providers in Willard, OH by specialty
• Clinical Nurse Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.