Individual provider Active NPI

Kathryn Ann Bruno, CPNP

  • Pediatric Nurse Practitioner
  • Beachwood, OH
National Provider Identifier
1972080950
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN.CNP.023214 Issued in OH
Practice address
25550 Chagrin Blvd Ste 200
Beachwood, OH 44122-4640
Phone
(216) 765-0500
NPI assigned
Jul 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X APRN.CNP.023214 OH Primary

Addresses

Primary practice location

25550 Chagrin Blvd Ste 200
Beachwood, OH 44122-4640

Mailing address

7992 Chablis Dr NW
Massillon, OH 44646-1917
Phone (330) 904-1603

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
I20190425000597 OH Practitioner - Nurse Practitioner 8921340852 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.023214OHMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emily Program P C CurrentSince Jun 22, 2022 Accepting new patients
Children'S Hospital Medical Center of Akron Current Accepting new patients
Children'S Hospital Medical Center of Akron CurrentSince Apr 10, 2019 Accepting new patients
Children'S Hospital Medical Center of Akron CurrentSince Apr 10, 2019 Accepting new patients
Akron Children'S Hospital Current Accepting new patients

Locations

2265 Como Ave
Saint Paul, MN 55108

1 Perkins Sq
Akron, OH 44308
Phone (330) 543-8050

3401 Enterprise Pkwy
Ste 250
Beachwood, OH 44122
Phone (216) 765-0500

8001 Ravines Edge Ct
Columbus, OH 43235
Phone (614) 896-8270

8001 Ravines Edge Ct
Ste 201
Columbus, OH 43235
Phone (614) 896-8222

1149 Lincoln Way E
Massillon, OH 44646
Phone (330) 830-7900

Interoperability endpoints

  • Direct secure messaging: kbruno9247@direct.chmca.org

Organizations & group practices 5

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": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1972080950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7992 CHABLIS DR NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446461917",
            "telephone_number": "330-904-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25550 CHAGRIN BLVD STE 200",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224640",
            "telephone_number": "216-765-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "KATHRYN",
        "middle_name": "ANN",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "APRN.CNP.023214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.