Look up the most recent NPI and PECOS records

Kevin Nash

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

7292 Fulton Dr NW, Canton, OH 44718-1525

PECOS Enrollment

Based on the most recent information from CMS, provider Kevin Nash is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1265787402
Provider Type
Individual
Full Name
Nash, Kevin
Credential
APRN-CNP

Gender
Male
Sole Proprietor
No
Enumeration Date
7/13/2012
Last Updated
1/20/2021

Contact Information

Practice Location

7292 Fulton Dr NW, Canton, OH 44718-1525

(330) 837-3095

Unlisted Fax

Mailing Location

7292 Fulton Dr NW, Canton, OH 44718-1525

(330) 837-3095

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN.CNP.13440 Ohio
Code 363L00000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License RN.347538 Ohio

Kevin Nash

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Rice, Sydney Jane

Gainer, Joseph Richard

Kaput, Inglish

Trent, Elizabeth

Tannhof, Ashley Marie

Davis, Kirsten Lyn

Stockert, Stacie

Mcclain, Brittany

Gordon, Marian Kathleen

Lupisan, Maria Angelica Marasigan