Crisfield Clinic LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R105366 Issued in MD

Legal business name

CRISFIELD CLINIC LLC

Practice address

4384 Crisfield Hwy
Crisfield, MD 21817-2550

Phone

(410) 968-1800

NPI assigned

Apr 9, 2012

Last updated

Apr 9, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kerry Colleen Palakanis, CRNP

Title

Owner

Phone

(443) 493-0062

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1346506979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4384 CRISFIELD HWY",
            "city": "CRISFIELD",
            "state": "MD",
            "postal_code": "218172550",
            "telephone_number": "410-968-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4384 CRISFIELD HWY",
            "city": "CRISFIELD",
            "state": "MD",
            "postal_code": "218172550",
            "telephone_number": "410-968-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISFIELD CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-09",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "PALAKANIS",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "COLLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-493-0062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R105366",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MD",
            "license": "R091871",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele I Bracken, CRNP
• Patricia T Bratek, CRNA
• Darryl Evan Brown
• Jason Leondas Brumfield, COTA/L
• Amber Brooke Cooper, PTA
• William Edward Darby, RPH
• Debra R. Boender, DPM, PHD, LLC
• Emergency Service Associates PA
• Libertad Holazo Escalante, MD
• Mary Lynne Everett, MD

• Family Nurse Practitioner in Crisfield, MD
• Providers in Crisfield, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.