Individual provider Active NPI

Danielle Dziak, RN

  • Nurse Practitioner
  • Cleveland, OH
National Provider Identifier
1154070407
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0032942 Issued in OH
Practice address
9500 Euclid Ave
Cleveland, OH 44195-9720
Phone
(216) 444-2200
NPI assigned
Mar 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 485453 OH
Nurse Practitioner 363L00000X APRN.CNP.0032942 OH Primary

Addresses

Primary practice location

9500 Euclid Ave
Cleveland, OH 44195-9720

Mailing address

515 W 5TH Ave Apt 541
Columbus, OH 43201-0135
Phone (440) 315-3142

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
I20231009001505 OH Practitioner - Nurse Practitioner 7810342045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-2200

Hospital & facility affiliations

  • Fairview Hospital Hospital, Cleveland, OH, CCN 360077
  • Cleveland Clinic Avon Hospital Hospital, Avon, OH, CCN 360364
  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • Hillcrest Hospital Hospital, Mayfield Heights, OH, CCN 360230
  • Akron General Medical Center Hospital, Akron, OH, CCN 360027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
485453OHMDRegistered Nurse
APRN.CNP.0032942OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Sep 13, 2023 Accepting new patients

Locations

4125 Medina Rd
Akron, OH 44333
Phone (330) 375-8104

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

4389 Medina Rd
Copley, OH 44321
Phone (234) 678-9332

333 W Bridge St
Dublin, OH 43017
Phone (614) 358-4223

762 S Cleveland Massillon Rd
Fairlawn, OH 44333
Phone (330) 665-4100

12000 McCracken Rd
Garfield Hts, OH 44125
Phone (216) 261-7970

1940 Town Park Blvd
Green, OH 44685
Phone (330) 869-5010

225 Elyria St
Lodi, OH 44254
Phone (330) 948-1222

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

4300 Allen Rd
Stow, OH 44224
Phone (330) 945-3150

33 North Ave
Ste 104
Tallmadge, OH 44278
Phone (330) 344-3990

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.

Hospital & facility affiliations 5

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": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1154070407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W 5TH AVE APT 541",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432010135",
            "telephone_number": "440-315-3142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441959720",
            "telephone_number": "216-444-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZIAK",
        "first_name": "DANIELLE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-23",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "485453",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0032942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.