Active NPI
Kathryn Ann Bruno, CPNP
- Pediatric Nurse Practitioner
- Beachwood, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APRN.CNP.023214
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.023214 | OH | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emily Program P C | Current | Accepting new patients | |
| Children'S Hospital Medical Center of Akron | Current | Accepting new patients | |
| Children'S Hospital Medical Center of Akron | Current | Accepting new patients | |
| Children'S Hospital Medical Center of Akron | Current | 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
- 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.
-
- Pediatrics Physician
- Akron, OH
- NPI 1841328853
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Paul, MN
- NPI 1528165065
OH
-
- Children's Hospital
- Akron, OH
- NPI 1942465752
-
- Anesthesiology Physician
- Boardman, OH
- NPI 1417257601
-
- Home Infusion Agency
- Akron, OH
- NPI 1649485848
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.