Individual provider Active NPI

Amber Nicole

  • Case Manager/Care Coordinator
  • Mayfield HTS, OH
National Provider Identifier
1013736388
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
5813 Mayfield Rd Ste 203
Mayfield HTS, OH 44124-2937
Phone
(216) 401-6564
NPI assigned
Oct 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

5813 Mayfield Rd Ste 203
Mayfield HTS, OH 44124-2937

Mailing address

5813 Mayfield Rd Ste 203
Mayfield HTS, OH 44124-2937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Upstar Mental Health Services LLC CurrentSince Oct 6, 2024 Accepting new patients
Upstar Mental Health Services LLC CurrentSince Oct 6, 2024 Accepting new patients

Locations

5813 Mayfield Rd
Ste 203
Mayfield Hts, OH 44124
Phone (216) 401-6564

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1728000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1013736388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5813 MAYFIELD RD STE 203",
            "city": "MAYFIELD HTS",
            "state": "OH",
            "postal_code": "441242937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5813 MAYFIELD RD STE 203",
            "city": "MAYFIELD HTS",
            "state": "OH",
            "postal_code": "441242937",
            "telephone_number": "216-401-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLE",
        "first_name": "AMBER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-04",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield HTS, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.