Active NPI
Kristin E. Guillan, CPNP-PC
- Pediatrics Physician
- Akron, OH
National Provider Identifier
1881328607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0027001
- Practice address
- 141 N Forge St
Akron, OH 44304-1407 - Phone
- (330) 543-1000
- NPI assigned
- Jul 16, 2022
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0027001 | OH | Primary |
Addresses
Primary practice location
141 N Forge St
Akron, OH 44304-1407
Mailing address
772 Starr Ridge St SE
Massillon, OH 44646-0105
Phone (330) 904-9896
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0027001 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summa Health System | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Akron, OH
- NPI 1396765681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657929600000",
"number": "1881328607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "772 STARR RIDGE ST SE",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446460105",
"telephone_number": "330-904-9896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 N FORGE ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443041407",
"telephone_number": "330-543-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUILLAN",
"first_name": "KRISTIN",
"middle_name": "E.",
"credential": "CPNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-16",
"last_updated": "2022-07-16",
"certification_date": "2022-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "0027001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.