Roberta L Krise, AAS,QMHS

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2500 John Glenn Hwy
Cambridge, OH 43725-9028

Phone

(740) 439-4428

Fax

(740) 439-3389

NPI assigned

Dec 17, 2019

Sex

Female

Sole proprietor

No

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)

Not enrolled

Credentials

Associate of Applied Science

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1558909986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 BELL ST",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011720",
            "telephone_number": "740-454-9766",
            "fax_number": "740-588-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 JOHN GLENN HWY",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437259028",
            "telephone_number": "740-439-4428",
            "fax_number": "740-439-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISE",
        "first_name": "ROBERTA",
        "middle_name": "L",
        "credential": "AAS,QMHS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-17",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Kintner, COTA/L
• Marian E Kirkbride, LPN
• David Raymond Kissinger
• Sivaram Kollengode, M.D.
• Joshua Charles Krise, PHARMD
• Tracy Krise
• Delryna Krouskoupf
• Jenna Krouskoupf
• William Andrew Kuebler
• Barbara Kullik, RN

• Case Manager/Care Coordinator in Cambridge, OH
• Providers in Cambridge, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.