Individual provider Active NPI

Kelli M Littlejohn, DNP, FNP-C

  • Nurse Practitioner
  • Beachwood, OH
National Provider Identifier
1194115048
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0033525 Issued in OH
Practice address
23333 Harvard Rd
Beachwood, OH 44122-6232
Phone
(440) 566-0170
Fax
(440) 585-4041
NPI assigned
Jan 30, 2015
Last updated
Nov 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.0033525 OH Primary
Registered Nurse 163W00000X 390024 OH

Addresses

Primary practice location

23333 Harvard Rd
Beachwood, OH 44122-6232

Mailing address

PO Box 660
Mentor, OH 44061-0660
Phone (440) 516-3776

Other practice location 1

6505 Market St Bldg D
Boardman, OH 44512-3459
Phone (440) 566-0170

Other practice location 2

1985 E Pershing St
Salem, OH 44460-3411
Phone (330) 332-1588

Other practice location 3

14108 Becket Rd
Shaker Hts, OH 44120-2825
Phone (216) 262-0155

Other practice location 4

1835 Belmore Rd
Cleveland, OH 44112-4301
Phone (216) 268-3600

Other practice location 5

7148 West Blvd
Youngstown, OH 44512-4336
Phone (440) 566-0170

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
I20240112000743 OH Practitioner - Nurse Practitioner 3971954074 Reassigns benefits to 2 organizations

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
Great Lakes Care IncGroup PAC ID 4183932072, 4 clinicians

Practice addresses (Care Compare)

23333 Harvard Rd
Beachwood, OH 44122-6232
Phone (440) 566-0170

29001 Cedar Rd
Suite 103
Lyndhurst, OH 44124-4041
Phone (440) 566-0170

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
390024OHMDRegistered Nurse
APRN.CNP.0033525OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Care Inc Multi-Specialty CurrentSince Jan 1, 2024 Accepting new patients
Dr Miodrag Zivic LLC Multi-Specialty CurrentSince Nov 15, 2023 Accepting new patients
Dove Legacy Health Multi-Specialty CurrentSince Mar 24, 2024 Accepting new patients

Locations

23333 Harvard Rd
Beachwood, OH 44122
Phone (216) 593-2200

25200 Chagrin Blvd
Ste 300
Cleveland, OH 44122
Phone (216) 383-2834

1835 Belmore Rd
East Cleveland, OH 44112
Phone (216) 268-3600

99 Northline Cir
Ste 215
Euclid, OH 44119
Phone (216) 383-2834

29001 Cedar Rd
Ste 103
Lyndhurst, OH 44124
Phone (216) 363-2556

1985 E Pershing St
Salem, OH 44460
Phone (330) 332-1588

29640 Euclid Ave
Wickliffe, OH 44092
Phone (440) 463-9596

6505 Market St
Bldg D
Youngstown, OH 44512
Phone (330) 726-8860

7148 West Blvd
Youngstown, OH 44512
Phone (330) 530-4038

Interoperability endpoints

  • Direct secure messaging: klittlejohn570001@ehrdirect.uhhospitals.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1422576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1194115048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440610660",
            "telephone_number": "440-516-3776",
            "fax_number": "440-516-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23333 HARVARD RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441226232",
            "telephone_number": "440-566-0170",
            "fax_number": "440-585-4041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6505 Market St Bldg D",
            "address_purpose": "LOCATION",
            "city": "Boardman",
            "state": "OH",
            "postal_code": "445123459",
            "country_code": "US",
            "telephone_number": "440-566-0170",
            "fax_number": "440-585-4041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1985 E Pershing St",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OH",
            "postal_code": "444603411",
            "country_code": "US",
            "telephone_number": "330-332-1588",
            "fax_number": "440-585-4041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14108 Becket Rd",
            "address_purpose": "LOCATION",
            "city": "Shaker Hts",
            "state": "OH",
            "postal_code": "441202825",
            "country_code": "US",
            "telephone_number": "216-262-0155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1835 Belmore Rd",
            "address_purpose": "LOCATION",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441124301",
            "country_code": "US",
            "telephone_number": "216-268-3600",
            "fax_number": "440-585-4041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7148 West Blvd",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445124336",
            "country_code": "US",
            "telephone_number": "440-566-0170",
            "fax_number": "440-585-4041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LITTLEJOHN",
        "first_name": "KELLI",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-30",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0033525",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "390024",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.