CLISTA DEAN CNP NPI 1467811695

NPI Information

  • NPI: 1467811695
  • Provider Name: CLISTA DEAN, CNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 625 W WATERLOO ST
    STE 210B
    CANAL WINCHESTER, OH
    ZIP 43110
  • Phone: (614) 955-3430

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NPI Details

Clista Dean, CNP is a family nurse practitioner in Canal Winchester, OH with 11 years of experience. Clista Dean, CNP NPI is 1467811695. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

625 W WATERLOO ST
STE 210B
CANAL WINCHESTER, OH
ZIP 43110
Phone: (614) 955-3430
Fax: (614) 533-0465

The NPI 1467811695 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/16/2016 and was last updated on 8/6/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyAPRN.CNP.18805OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10158584MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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