Kristen Lynn Gilbert, RN, CDCA

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

447051 Issued in OH

Practice address

41641 N Ridge Rd Ste B
Elyria, OH 44035-1264

Phone

(440) 387-1039

NPI assigned

Apr 6, 2018

Last updated

Apr 6, 2018By the provider in NPPES

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)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Fortaleza,LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lorain, OH
  • NPI 1326463720
  NPD (past)
• Fortaleza,LLC

  • General Practice Physician
  • Lorain, OH
  • NPI 1427567445
  NPD (past)

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1871090829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 YALE AVE",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356015",
            "telephone_number": "440-387-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41641 N RIDGE RD STE B",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440351264",
            "telephone_number": "440-387-1039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 Scranton Rd",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441134311",
            "country_code": "US",
            "telephone_number": "216-273-6998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "KRISTEN",
        "middle_name": "LYNN",
        "credential": "RN, CDCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "447051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Giannuzzi
• Carol Marie Gibbons, CNP
• Janice Lynn Gibson, LPN
• Theresa M. Gies, RN/CPNP
• Jasmine Gilbert
• Mary Lauretta Gilchrist
• Brandon Marcus Gill
• Julie Gillette, C.R.N.A.
• Mallory Girdler, DMD
• Danette Joan Gissinger, CRNA

• Addiction (Substance Use Disorder) Registered Nurse in Elyria, OH
• Providers in Elyria, OH by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.