Individual provider Active NPI

Kristi Drake, CNP

  • Adult Health Nurse Practitioner
  • Fairlawn, OH
National Provider Identifier
1649637893
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
COA 18642 NP Issued in OH
Practice address
762 S Cleveland Massillon Rd
Fairlawn, OH 44333-3024
Phone
(330) 665-4100
Fax
(330) 665-6750
NPI assigned
Jan 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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 COA 18642 NP OH Primary

Addresses

Primary practice location

762 S Cleveland Massillon Rd
Fairlawn, OH 44333-3024

Mailing address

762 S Cleveland Massillon Rd
Fairlawn, OH 44333-3024
Phone (330) 665-4100

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
I20160205001881 OH Practitioner - Nurse Practitioner 4284938549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summa Physicians LLCGroup PAC ID 2961303532, 692 clinicians

Practice addresses (Care Compare)

3378 W Market St
Fairlawn, OH 44333-3306
Phone (330) 835-5533

525 E Market St
Akron, OH 44304-1619

95 Arch St
Suite 215
Akron, OH 44304-1467
Phone (330) 434-4145

Hospital & facility affiliations

  • Summa Health System Hospital, Akron, OH, CCN 360020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA 18642 NPOHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC CurrentSince Dec 6, 2021 Accepting new patients
Summa Physicians LLC CurrentSince Dec 6, 2021 Accepting new patients
Summa Physicians LLC Current Accepting new patients
Summa Physicians LLC Past Accepting new patients

Locations

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

75 Arch St
Ste 201
Akron, OH 44304
Phone (330) 375-7055

3378 W Market St
Fairlawn, OH 44333
Phone (330) 576-3500

Interoperability endpoints

  • Direct secure messaging: kdrake23430@summahealth-direct.org

Organizations & group practices 4

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1649637893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 S CLEVELAND MASSILLON RD",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333024",
            "telephone_number": "330-665-4100",
            "fax_number": "330-665-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 S CLEVELAND MASSILLON RD",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333024",
            "telephone_number": "330-665-4100",
            "fax_number": "330-665-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "KRISTI",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "COA 18642 NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

Verify at the official NPI Registry.