Individual provider Active NPI

Amy Dupont, CNP

  • Registered Nurse
  • Shaker Heights, OH
National Provider Identifier
1144486457
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN290032 Issued in OH
Practice address
3461 Warrensville Center Rd
Suite 203
Shaker Heights, OH 44122-5260
Phone
(440) 312-9041
NPI assigned
Aug 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN290032 OH Primary

Addresses

Primary practice location

3461 Warrensville Center Rd
Suite 203
Shaker Heights, OH 44122-5260

Mailing address

28502 Parkwood Dr
Willowick, OH 44095-4576
Phone (440) 312-9041

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
I20080922000167 OH Practitioner - Nurse Practitioner 3072680818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rajesh Agarwal MD, LLC 12 clinicians

Practice addresses (Care Compare)

20050 Harvard Ave
Suite 300
Warrensville Heights, OH 44122-6800
Phone (216) 751-1212

Hospital & facility affiliations

  • Residence Home Care LLC Home health agency, North Olmsted, OH, CCN 369153
  • Helping U Home Health Care, LLC Home health agency, Beachwood, OH, CCN 369056
  • Hospice of the Western Reserve, Inc Hospice, Cleveland, OH, CCN 361503
  • Hillcrest Hospital Hospital, Mayfield Heights, OH, CCN 360230
  • Uhhs Memorial Hospital of Geneva Hospital, Geneva, OH, CCN 361307
  • Ashtabula County Medical Center Hospital, Ashtabula, OH, CCN 360125

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN290032OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Rajesh Agarwal MD, LLC CurrentSince Jul 21, 2008 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Labzone LLC Past Accepting new patients

Locations

20050 Harvard Ave
Ste 300
Warrensville Heights, OH 44122
Phone (216) 751-1212

Interoperability endpoints

  • Direct secure messaging: adupontcoolidge65548@direct.ccf.org

Organizations & group practices 3

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 6

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": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1144486457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28502 PARKWOOD DR",
            "city": "WILLOWICK",
            "state": "OH",
            "postal_code": "440954576",
            "telephone_number": "440-312-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3461 WARRENSVILLE CENTER RD",
            "address_2": "SUITE 203",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441225260",
            "telephone_number": "440-312-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPONT",
        "first_name": "AMY",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-06",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN290032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shaker Heights, OH

Sources for this page

Verify at the official NPI Registry.