Individual provider Active NPI

Krisana Kramseang, RN, MSN, CNP

  • Adult Health Nurse Practitioner
  • Akron, OH
National Provider Identifier
1881995496
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
COA 11787-NP Issued in OH
Practice address
231 Springside Dr
Suite 204
Akron, OH 44333-4530
Phone
(330) 666-9544
Fax
(330) 670-8569
NPI assigned
Nov 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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 11787-NP OH Primary

Addresses

Primary practice location

231 Springside Dr
Suite 204
Akron, OH 44333-4530

Mailing address

12465 Deer Creek Dr
North Royalton, OH 44133-6776
Phone (330) 608-7438

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
I20101208000093 OH Practitioner - Nurse Practitioner 7810184553 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
COA 11787-NPOHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Hospital CurrentSince Jul 12, 2022 Accepting new patients
Fairview Hospital CurrentSince Jul 12, 2022 Accepting new patients
Qofl Services LLC PastSince Jul 1, 2015 Accepting new patients

Locations

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

10654 Lorain Ave
Cleveland, OH 44111
Phone (216) 941-1044

18101 Lorain Ave
Cleveland, OH 44111
Phone (216) 476-7029

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289520000000",
    "number": "1881995496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12465 DEER CREEK DR",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441336776",
            "telephone_number": "330-608-7438",
            "fax_number": "330-670-8569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 SPRINGSIDE DR",
            "address_2": "SUITE 204",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443334530",
            "telephone_number": "330-666-9544",
            "fax_number": "330-670-8569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMSEANG",
        "first_name": "KRISANA",
        "name_prefix": "Ms.",
        "credential": "RN, MSN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-12",
        "last_updated": "2010-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "COA 11787-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.