Individual provider Active NPI

Lavada Tillie, MSN, FNP-C, CNP

  • Family Nurse Practitioner
  • Cleveland, OH
National Provider Identifier
1184133142
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.021226 Issued in OH
Practice address
2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone
(216) 778-7800
NPI assigned
Sep 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.021226 OH Primary

Addresses

Primary practice location

2500 Metrohealth Dr
Cleveland, OH 44109-1900

Mailing address

2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 532-3427

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ltillie139155@direct-prd.metrohealth.org

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
I20171025001070 OH Practitioner - Nurse Practitioner 7315213022 Reassigns benefits to 7 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
APRN.CNP.021226OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Abode Care Partners Al VB, LLC CurrentSince May 11, 2024 Accepting new patients
Crossroads Hospice of Northeast CurrentSince Sep 17, 2024 Accepting new patients
Vpa PC Current Accepting new patients
Vpa PC CurrentSince Jan 14, 2018 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince May 11, 2024 Accepting new patients
Crossroads Hospice of Northeast Ohio, LLC CurrentSince Sep 17, 2024 Accepting new patients
Mills Medical Practices, LLC CurrentSince Apr 8, 2024 Accepting new patients
The Metrohealth System CurrentSince Feb 28, 2018 Accepting new patients
Vpa PC CurrentSince Jan 14, 2018 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Jan 1, 2022 Accepting new patients
Mills Medical Practices, LLC CurrentSince Apr 8, 2024 Accepting new patients
Longevity Clinical LTC Associates of Ohio, Inc. CurrentSince Jul 21, 2025 Accepting new patients
The Metrohealth System CurrentSince Feb 28, 2018 Accepting new patients
Empowering Integrated Care Solutions, LLC PastSince Jul 1, 2024 Accepting new patients

Locations

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

805 N Whittington Pkwy
Ste 200
Louisville, KY 40222

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

3737 Park East Dr
Ste 220
Beachwood, OH 44122
Phone (440) 368-6868

3733 Park East Dr
Ste 220
Beachwood, OH 44122
Phone (440) 368-6868

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

11100 Euclid Ave
Cleveland Heights, OH 44106

3743 Boettler Oaks Dr
Ste E
Green, OH 44685
Phone (330) 899-9100

12380 Plaza Dr
Parma, OH 44130
Phone (216) 898-8444

7206 Market St
Ste A
Youngstown, OH 44512
Phone (330) 726-3379

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1184133142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 METROHEALTH DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441091900",
            "telephone_number": "216-532-3427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 METROHEALTH DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441091900",
            "telephone_number": "216-778-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLIE",
        "first_name": "LAVADA",
        "name_prefix": "Miss",
        "credential": "MSN, FNP-C, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-21",
        "last_updated": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.021226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ltillie139155@direct-prd.metrohealth.org",
            "affiliation": "N",
            "address_1": "2500 Metrohealth Dr",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441091900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.