Active NPI
Kristelle Joie Imperio-Lagabon
- Student in an Organized Health Care Education/Training Program
- Cleveland, OH
National Provider Identifier
1760062319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 9500 Euclid Ave
Cleveland, OH 44195-0001 - Phone
- (216) 444-2200
- NPI assigned
- Apr 8, 2021
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
9500 Euclid Ave
Cleveland, OH 44195-0001
Mailing address
2310 W Cavalier Rd
Avon Park, FL 33825-9550
Other practice location 1
14601 Detroit Ave
Lakewood, OH 44107-4205
Phone (216) 237-5500
Other practice location 2
20000 Harvard Ave
Warrensville Heights, OH 44122-6805
Phone (216) 491-6000
Other practice location 3
18101 Lorain Ave
Cleveland, OH 44111-5612
Phone (216) 476-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210707003796 | OH | Order and Referring Only - Internal Medicine | 2668874066 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617840000000",
"number": "1760062319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2310 W CAVALIER RD",
"city": "AVON PARK",
"state": "FL",
"postal_code": "338259550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441950001",
"telephone_number": "216-444-2200"
}
],
"practiceLocations": [
{
"address_1": "14601 Detroit Ave",
"address_purpose": "LOCATION",
"city": "Lakewood",
"state": "OH",
"postal_code": "441074205",
"country_code": "US",
"telephone_number": "216-237-5500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20000 Harvard Ave",
"address_purpose": "LOCATION",
"city": "Warrensville Heights",
"state": "OH",
"postal_code": "441226805",
"country_code": "US",
"telephone_number": "216-491-6000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18101 Lorain Ave",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441115612",
"country_code": "US",
"telephone_number": "216-476-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IMPERIO-LAGABON",
"first_name": "KRISTELLE",
"middle_name": "JOIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-08",
"last_updated": "2021-04-08",
"certification_date": "2021-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.