Kathleen Sibyl Kress Farrell, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

APRN.CNP.022438 Issued in OH

Practice address

14701 Detroit Ave Ste 250
Lakewood, OH 44107-4109

Phone

(216) 221-5901

Fax

(216) 221-5881

NPI assigned

Mar 27, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Certified Pediatric Nurse Practitioner

State licenses

Practice roles

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.

• Neighborhood Pediatrics, LLC

  • Primary Care Clinic/Center
  • Lakewood, OH
  • NPI 1679724884
  NPD (past)

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1376170381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14701 DETROIT AVE STE 250",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074109",
            "telephone_number": "216-221-5901",
            "fax_number": "216-221-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14701 DETROIT AVE STE 250",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074109",
            "telephone_number": "216-221-5901",
            "fax_number": "216-221-5881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441954109",
            "country_code": "US",
            "telephone_number": "216-444-5037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRESS FARRELL",
        "first_name": "KATHLEEN",
        "middle_name": "SIBYL",
        "credential": "CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "RN356026",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "APRN.CNP.022438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Paul Kolodziej, D.M.D., M.S.
• Prasadarao Kondapalli, MD
• Deniz F. Koprulu
• Gina Kortyka
• Kristina Marie Kovach, DPM
• Viktoria Krislaty, DC
• Ceil Kroszkewicz
• Danielle M Kuebler
• Marlene Frances Kurz, P.C.C.
• Benjamin Thomas Lackey, PHD.

• Pediatric Nurse Practitioner in Lakewood, OH
• Providers in Lakewood, OH by specialty
• Pediatric Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.