Individual provider Active NPI

Kimberly Ann Svec, FNP-C

  • Family Nurse Practitioner
  • Willoughby, OH
National Provider Identifier
1093104598
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.17005 Issued in OH
Practice address
5105 Som Center Rd
# 106
Willoughby, OH 44094-4203
Phone
(440) 953-5740
Fax
(440) 953-5741
NPI assigned
Jan 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.17005 OH Primary

Addresses

Primary practice location

5105 Som Center Rd
# 106
Willoughby, OH 44094-4203

Mailing address

5105 Som Center Rd
# 106
Willoughby, OH 44094-4203
Phone (440) 953-5740

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kimberly.juka@lhpg.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150713002586 OH Practitioner - Nurse Practitioner 1052624582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lake Hospital System, Inc.Group PAC ID 6002713922, 92 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716

320 Ctr St
Chardon, OH 44024-1165
Phone (440) 285-8585

36001 Euclid Avneue
Suite C7
Willoughby, OH 44094-4650
Phone (440) 602-6710

36100 Euclid Ave
Willoughby, OH 44094-4427

36500 Euclid Ave
Willoughby, OH 44094-4455
Phone (440) 516-0530

Hospital & facility affiliations

  • Ohio Living Home Health Greater Cleveland Home health agency, Willoughby, OH, CCN 367564
  • University Hospital Home Care Services, Inc Home health agency, Warrensville HTS, OH, CCN 367424
  • Lake Health Hospital, Concord, OH, CCN 360098
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Hospital System, Inc CurrentSince May 14, 2015 Accepting new patients
Lake Hospital System Inc Current Accepting new patients
Lake Hospital System Inc CurrentSince May 14, 2015 Accepting new patients
Lake Hospital System, Inc Past Accepting new patients

Locations

25701 N Lakeland Blvd
Ste 305
Euclid, OH 44132
Phone (216) 731-5212

10780 Kinsman Rd
Newbury, OH 44065
Phone (440) 564-5656

5105 Som Center Rd
Ste 106
Willoughby, OH 44094
Phone (440) 953-5740

Interoperability endpoints

  • Direct secure messaging: ksvec28264@ehrdirect.uhhospitals.org

Organizations & group practices 4

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1093104598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 SOM CENTER RD",
            "address_2": "# 106",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944203",
            "telephone_number": "440-953-5740",
            "fax_number": "440-953-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105 SOM CENTER RD",
            "address_2": "# 106",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944203",
            "telephone_number": "440-953-5740",
            "fax_number": "440-953-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SVEC",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-21",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.17005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimberly.juka@lhpg.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Baseline West Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "5105 SOM CENTER RD",
            "address_2": "# 106",
            "city": "WILLOUGHBY",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440944203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Willoughby, OH

Sources for this page

Verify at the official NPI Registry.