Airian Pruitt

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Practice address

17325 Euclid Ave Ste 4103
Cleveland, OH 44112-1262

Phone

(216) 526-1600

NPI assigned

Mar 30, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Peter James Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Bedford, OH
  • NPI 1184255549

  Case Management

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1013545524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 SPARROWHAWK WAY",
            "city": "OAKWOOD VILLAGE",
            "state": "OH",
            "postal_code": "441463166",
            "telephone_number": "216-526-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17325 EUCLID AVE STE 4103",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441121262",
            "telephone_number": "216-526-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "AIRIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "petep@peterjamesdev.com",
            "affiliation": "N",
            "address_1": "17325 Euclid Ave Ste 4103",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441121262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Provixa Health Care Systems
• Aaron Proweller, MD
• Terrionna Prude
• Dominique Prudhomme, MD
• Jillene Pruiett
• Dequita W Pruitt
• Frederick Pruitt
• Gina Pruitt, LPN
• Kimberly Marie Pruitt
• Kyle Alexander Pruitt

• Case Management Agency in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Case Management Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.