Individual provider Active NPI

Kristen L Barath, CNP

  • Adult Health Nurse Practitioner
  • Stow, OH
National Provider Identifier
1649259771
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
NP06571 Issued in OH
Practice address
2971 Graham Rd
Stow, OH 44224-3619
Phone
(330) 688-7981
Fax
(330) 688-7469
NPI assigned
Jan 17, 2006
Last updated
Aug 22, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X NP06571 OH Primary

Addresses

Primary practice location

2971 Graham Rd
Stow, OH 44224-3619

Mailing address

2971 Graham Rd
Stow, OH 44224-3619
Phone (330) 688-7981

Other identifiers 1

IdentifierTypeStateIssuer
2279252MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040714000393 OH Practitioner - Nurse Practitioner 8628057759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3000 Erie St S
Massillon, OH 44646-7976
Phone (330) 833-3135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP06571OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State of Ohio Office of Budget and Management State Accounting Current Accepting new patients
State of Ohio Office of Budget and Management State Accounting CurrentSince May 20, 2019 Accepting new patients
State of Ohio Office of Budget and Management State Accounting CurrentSince May 20, 2019 Accepting new patients
Cornerstone Psychological & Counseling Services of Northeast Ohio PastSince Apr 1, 2020 Accepting new patients
Radiology Associates of Canton, Inc. Past Accepting new patients

Locations

30 E Broad St
Fl 11
Columbus, OH 43215
Phone (614) 466-9930

3000 Erie St S
Massillon, OH 44646
Phone (330) 833-3135

Interoperability endpoints

  • Direct secure messaging: kbarath22556@mhas.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187740800000",
    "number": "1649259771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2971 GRAHAM RD",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442243619",
            "telephone_number": "330-688-7981",
            "fax_number": "330-688-7469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2971 GRAHAM RD",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442243619",
            "telephone_number": "330-688-7981",
            "fax_number": "330-688-7469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARATH",
        "first_name": "KRISTEN",
        "middle_name": "L",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2007-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "NP06571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2279252",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stow, OH

Sources for this page

Verify at the official NPI Registry.