Carolyn Harmon Still, PHD, ARNP-BC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

NP-09414 Issued in OH

Practice address

15810 Van Aken Blvd
Apt. #103
Shaker Heights, OH 44120-5376

Phone

(216) 938-7325

Fax

(216) 938-7325

NPI assigned

Mar 9, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Carolyn Wilma Harmon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Doctor of Philosophy

State licenses

Interoperability endpoints

• Direct secure messaging: cstill219917@ehrdirect.uhhospitals.org

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386720000000",
    "number": "1043533763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23111 RUSHMORE DR",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441432565",
            "telephone_number": "216-938-7325",
            "fax_number": "216-844-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15810 VAN AKEN BLVD",
            "address_2": "APT. #103",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441205376",
            "telephone_number": "216-938-7325",
            "fax_number": "216-938-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILL",
        "first_name": "CAROLYN",
        "middle_name": "HARMON",
        "name_prefix": "Dr.",
        "credential": "PHD, ARNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-09",
        "last_updated": "2013-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "NP-09414",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "NP-09414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "HARMON",
            "middle_name": "WILMA",
            "prefix": "MS.",
            "credential": "ARNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Trisha Stidham, P.C.
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• Gerontology Nurse Practitioner in Shaker Heights, OH
• Providers in Shaker Heights, OH by specialty
• Gerontology Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; 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.