Kristen Marie Digennaro, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP-13815 Issued in OH

Practice address

1339 N Main St
North Canton, OH 44720-1972

Phone

(330) 966-4703

NPI assigned

Dec 11, 2012

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)

Enrolled

State licenses

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678

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

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1508101940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1339 N MAIN ST",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447201972",
            "telephone_number": "330-966-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 N MAIN ST",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447201972",
            "telephone_number": "330-966-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGENNARO",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-11",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP-13815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally J Dicicco, COTA/L
• Larry A Dickey, L.M.T.
• Pamela Diegel, COTA/L
• Nancy Diehl, COTA/L
• Paul Dietz, PTA
• John Glenn Digman, LISW-S
• Naomi Dilgard
• Kirsten D Diller, NCC, PC
• Aurora Dillinger, COTA/L
• Erica Lee Dilworth, PTA

• Family Nurse Practitioner in North Canton, OH
• Providers in North Canton, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; 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.