Active NPI
Kristene K Grayem, C.N.S., C.N.P.
- Pediatric Clinical Nurse Specialist
- Akron, OH
National Provider Identifier
1407889496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Clinical Nurse Specialist
- License
- COA.03990-NS
- Practice address
- 1 Perkins SQ
Akron, OH 44308-1063 - Phone
- (330) 543-8050
- Fax
- (330) 543-8054
- NPI assigned
- Jul 10, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | COA.03993-NP | OH | |
| Pediatric Clinical Nurse Specialist | 364SP0200X | COA.03990-NS | OH | Primary |
Addresses
Primary practice location
1 Perkins SQ
Akron, OH 44308-1063
Mailing address
1 Perkins SQ
Akron, OH 44308-1063
Phone (330) 543-8050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2074928 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.03993-NP | OH | MD | Pediatric Nurse Practitioner |
| COA.03990-NS | OH | MD | Pediatric Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1407889496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PERKINS SQ",
"city": "AKRON",
"state": "OH",
"postal_code": "443081063",
"telephone_number": "330-543-8050",
"fax_number": "330-543-8054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PERKINS SQ",
"city": "AKRON",
"state": "OH",
"postal_code": "443081063",
"telephone_number": "330-543-8050",
"fax_number": "330-543-8054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAYEM",
"first_name": "KRISTENE",
"middle_name": "K",
"credential": "C.N.S., C.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OH",
"license": "COA.03993-NP",
"primary": false
},
{
"code": "364SP0200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Pediatrics",
"state": "OH",
"license": "COA.03990-NS",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2074928",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.