Lisa D Kaloczi-Baker, DNP FNP WHNP-BC
Individual provider Active NPI Family Nurse Practitioner · Hinckley, OH
NPI 1154411759 · NPPES record last updated Oct 26, 2023
Key facts
- NPI
- 1154411759
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 14379NP (OH)
- Practice address
- 9 W 130TH St
Hinckley, OH 44233-9610 - Phone
- (330) 225-8458
- Fax
- (330) 954-1801
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141202001174 | OH | Practitioner - Nurse Practitioner | 3072528389 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14379 | OH | MD | Ambulatory Women's Health Care Registered Nurse |
| 14379NP | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Metrohealth System | Current |
Accepting new patients | |
| Planned Parenthood of Greater Ohio | Current |
Accepting new patients | |
| Planned Parenthood of Greater Ohio | Women'S Health | Current |
Accepting new patients |
| The Metrohealth System | Current | Accepting new patients | |
| The Metrohealth System | Current |
Accepting new patients | |
| City of Cleveland Dept. of Public Health | Past | Accepting new patients | |
| City of Cleveland | Past | Accepting new patients | |
| University of Utah OB Care Now | Family | Past | Accepting new patients |
| University of Utah Hospital Professional Services | Past | Accepting new patients | |
| Local Public Health Services Collaborative LLC | Past | Accepting new patients |
Locations
4242 Lorain Ave
Rm 233
Cleveland, OH 44113
11100 Saint Clair Ave
Rm 219
Cleveland, OH 44108
2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348
7997 Euclid Ave
Cleveland, OH 44103
Phone (216) 789-7958
384 Park Ave W
Mansfield, OH 44906
Phone (419) 525-3080
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- lkaloczibaker294314@direct.metrohealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | 14379 | OH | |
| Women's Health Nurse Practitioner | 363LW0102X | 14379NP | OH | |
| Family Nurse Practitioner | 363LF0000X | 14379NP | OH | Yes |
Addresses
Primary practice location
9 W 130TH St
Hinckley, OH 44233-9610
Mailing address
9 W 130TH St
Hinckley, OH 44233-9610
Phone (330) 225-8458
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0110592 | Medicaid | OH |
Other names
- Lisa D Kaloczi
Other providers in Hinckley, OH
- Timothy Michael Hoynes
- Jessica Imlay
- Sharon Marie Jenkins
- Candace Peery Juenke
- Carrie Kalina
- Evelyn Louise Kiner
- Janay Kirk
- Anne Marie Koski
- Jennifer Kovi
- Lisa Marie Lapina
All providers in Hinckley, OH · Family Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.