Active NPI
Vickey Chrisman, APRN
- Adult Health Clinical Nurse Specialist
- Canton, OH
National Provider Identifier
1457590804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Clinical Nurse Specialist
- License
- APRN.CNP.10527
- Practice address
- 4580 Stephens Cir NW Ste 202
Canton, OH 44718 - Phone
- (330) 754-4431
- Fax
- (330) 244-8839
- NPI assigned
- Feb 9, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Clinical Nurse Specialist | 364SA2200X | APRN.CNP.10527 | OH | Primary |
Addresses
Primary practice location
4580 Stephens Cir NW Ste 202
Canton, OH 44718
Mailing address
4580 Stephens Cir NW Ste 202
Canton, OH 44718-3645
Phone (330) 754-4431
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 Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.10527 | OH | MD | Adult Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626825600000",
"number": "1457590804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4580 STEPHENS CIR NW STE 202",
"city": "CANTON",
"state": "OH",
"postal_code": "447183645",
"telephone_number": "330-754-4431",
"fax_number": "330-244-8839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4580 STEPHENS CIR NW STE 202",
"city": "CANTON",
"state": "OH",
"postal_code": "44718",
"telephone_number": "330-754-4431",
"fax_number": "330-244-8839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISMAN",
"first_name": "VICKEY",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-09",
"last_updated": "2021-07-21",
"certification_date": "2021-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "OH",
"license": "APRN.CNP.10527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.