KRISTEN J MIZUMOTO NP
NPI 1225388689
Nurse Practitioner - Psychiatric/Mental Health in Mentor, OH

Active since September 13, 2012
5930 HEISLEY RD, NEIGHBORING, MENTOR, OH 44060(440) 639-3509(440) 352-2040 Get Directions Write a Review

NPPES record last updated: January 31, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kristen J Mizumoto Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTEN J MIZUMOTO NP (NPI 1225388689) is an individual psychiatric/mental health provider in Mentor, Ohio, licensed in Ohio (COA13309) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1225388689
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKRISTEN J MIZUMOTOCredential: NP
Location Address5930 HEISLEY RD, NEIGHBORINGMentor, OH 44060-1834
Mailing Address5930 Heisley Rd, NeighboringMentor, OH 44060-1834 · (440) 639-3509 · Fax (440) 352-2040
Fax(440) 352-2040
Sole ProprietorNo
Enumeration DateSeptember 13, 2012
Last NPPES UpdateJanuary 31, 2014
NPI 1225388689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in OH · COA13309
5930 HEISLEY RD, Mentor, OH 44060

Other Identifiers 2

Medicaid2362429OH
Medicare UPIN9282481OH

Accepted Insurance

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
5930 HEISLEY RD
MENTOR, OH 44060
Social Worker
5930 HEISLEY RD
MENTOR, OH 44060
Counselor
5930 HEISLEY RD
MENTOR, OH 44060
Social Worker (Clinical)
5930 HEISLEY RD
MENTOR, OH 44060
Social Worker
5930 HEISLEY RD
MENTOR, OH 44060
Clinic/Center (Mental Health (Including Community Mental Health Center))
5930 HEISLEY RD
MENTOR, OH 44060
Social Worker (Clinical)
5930 HEISLEY RD
MENTOR, OH 44060
Social Worker
5930 HEISLEY RD
MENTOR, OH 44060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristen Mizumoto's NPI number?

The NPI number for Kristen Mizumoto is 1225388689. It was assigned to this individual provider in the NPPES registry on September 13, 2012.

Where is Kristen Mizumoto located?

Kristen Mizumoto practices at 5930 Heisley Rd Neighboring, Mentor, OH 44060. The listed phone number is (440) 639-3509.

What is Kristen Mizumoto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Kristen Mizumoto accept?

Health plans from MedMutual, Oscar Health Insurance, Oscar Insurance Corporation of Ohio and UnitedHealthcare list Kristen Mizumoto as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kristen Mizumoto was last updated on January 31, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.