Individual provider Active NPI

Rachel Koelliker Vanek, RN, CNP

  • Acute Care Nurse Practitioner
  • Cleveland, OH
National Provider Identifier
1164528394
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
00937-NP Issued in OH
Practice address
11100 Euclid Ave.
University Hosp of Cleveland Micu 3Rd FLR Mather Pav
Cleveland, OH 44106
Phone
(216) 844-2130
Fax
(216) 844-2113
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 00937-NP OH Primary

Addresses

Primary practice location

11100 Euclid Ave.
University Hosp of Cleveland Micu 3Rd FLR Mather Pav
Cleveland, OH 44106

Mailing address

9760 Wilson Mills Rd
Chardon, OH 44024-9721
Phone (440) 285-1843

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 Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
00937-NPOHMDAcute Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390262400000",
    "number": "1164528394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9760 WILSON MILLS RD",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440249721",
            "telephone_number": "440-285-1843",
            "fax_number": "216-844-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE.",
            "address_2": "UNIVERSITY HOSP OF CLEVELAND MICU 3RD FLR MATHER PAV",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44106",
            "telephone_number": "216-844-2130",
            "fax_number": "216-844-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANEK",
        "first_name": "RACHEL",
        "middle_name": "KOELLIKER",
        "name_prefix": "Mrs.",
        "credential": "RN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2014-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "00937-NP",
            "primary": true
        }
    ],
    "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 21, 2014; 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.