Individual provider Active NPI

Nathan Kielski

  • Community Health Worker
  • Lyndhurst, OH
National Provider Identifier
1184346728
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
5010 Mayfield Rd Ste 306
Lyndhurst, OH 44124-2697
Phone
(216) 591-6191
NPI assigned
Sep 12, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Primary

Addresses

Primary practice location

5010 Mayfield Rd Ste 306
Lyndhurst, OH 44124-2697

Mailing address

5010 Mayfield Rd Ste 306
Lyndhurst, OH 44124-2697
Phone (216) 591-6191

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Naaleh Cleveland Inc CurrentSince Sep 20, 2022 Accepting new patients

Locations

5010 Mayfield Rd
Ste 306
Lyndhurst, OH 44124
Phone (216) 591-6191

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.

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1184346728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 MAYFIELD RD STE 306",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242697",
            "telephone_number": "216-591-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 MAYFIELD RD STE 306",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242697",
            "telephone_number": "216-591-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIELSKI",
        "first_name": "NATHAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.