Active NPI
Eleanor Renee Tye
- Nurse's Aide
- Cleveland, OH
National Provider Identifier
1053998484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- Practice address
- 1280 East 168 St
Down
Cleveland, OH 44110-4411 - Phone
- (216) 315-2072
- NPI assigned
- Mar 24, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | Primary |
Addresses
Primary practice location
1280 East 168 St
Down
Cleveland, OH 44110-4411
Mailing address
1280 East 168 St
Down
Cleveland, OH 44110
Phone (216) 882-4650
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | CLEVELAND | Direct | |
| CONNECT URL | CLEVELAND | Direct |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Embracin Mental Awareness | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Behavior Technician
- Cleveland, OH
- NPI 1487591996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1053998484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1280 EAST 168 ST",
"address_2": "DOWN",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44110",
"telephone_number": "216-882-4650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1280 EAST 168 ST",
"address_2": "DOWN",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441104411",
"telephone_number": "216-315-2072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYE",
"first_name": "ELEANOR",
"middle_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-24",
"last_updated": "2021-03-24",
"certification_date": "2021-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "CLEVELAND",
"affiliation": "N",
"endpointDescription": "Cleveland",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1280 East 168 St",
"address_2": "Down",
"city": "Cleveland",
"state": "OH",
"country_code": "US",
"postal_code": "44110",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "CLEVELAND",
"affiliation": "N",
"endpointDescription": "Cleveland",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1280 East 168 St",
"address_2": "Down",
"city": "Cleveland",
"state": "OH",
"country_code": "US",
"postal_code": "441104411",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.