Individual provider Active NPI

Lanelle Perry, RN, CNS, PHD

  • Nurse Practitioner
  • Cleveland, OH
National Provider Identifier
1144666066
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
COA.06052 Issued in OH
Practice address
3089 Becket Rd
Cleveland, OH 44120-2709
Phone
(216) 374-8040
Fax
(216) 921-1455
NPI assigned
May 18, 2013
Last updated
Jan 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X COA.06052 OH Primary
Community Health Registered Nurse 163WC1500X COA06052-NS OH

Addresses

Primary practice location

3089 Becket Rd
Cleveland, OH 44120-2709

Mailing address

3089 Becket Rd
Cleveland, OH 44120-2709
Phone (216) 374-8040

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)
Enrolled
Credentials
Certified Nurse Specialist, Doctor of Philosophy, Registered Nurse

State licenses

LicenseStateTypeSpecialty
COA06052-NSOHMDCommunity Health Registered Nurse
COA.06052OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Empowering Integrated Care Solutions, LLC PastSince Jul 1, 2024 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1368835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1144666066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3089 BECKET RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441202709",
            "telephone_number": "216-374-8040",
            "fax_number": "216-921-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3089 BECKET RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441202709",
            "telephone_number": "216-374-8040",
            "fax_number": "216-921-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "LANELLE",
        "name_prefix": "Miss",
        "credential": "RN, CNS, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-18",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA.06052",
            "primary": true
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "OH",
            "license": "COA06052-NS",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jan 29, 2019; 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.