Individual provider Active NPI

Tatiana Ippolito, RN

  • Home Health Registered Nurse
  • Warrensville Heights, OH
National Provider Identifier
1205105012
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
RN.37288A Issued in OH
Practice address
26600 Renaissance Pkwy
Warrensville Heights, OH 44128-5795
Phone
(216) 329-8999
Fax
(216) 751-5894
NPI assigned
Dec 22, 2011
Last updated
Dec 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X RN.37288A OH Primary

Addresses

Primary practice location

26600 Renaissance Pkwy
Warrensville Heights, OH 44128-5795

Mailing address

26600 Renaissance Pkwy
Warrensville Heights, OH 44128-5795
Phone (216) 329-8999

Other names 1

  • Tatiana Ippolito Professional name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN.37288AOHMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Generations Behavioral Health Clinic, LLC PastSince Dec 24, 2023 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1205105012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26600 RENAISSANCE PKWY",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441285795",
            "telephone_number": "216-329-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26600 RENAISSANCE PKWY",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441285795",
            "telephone_number": "216-329-8999",
            "fax_number": "216-751-5894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IPPOLITO",
        "first_name": "TATIANA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-22",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OH",
            "license": "RN.37288A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TATIANA",
            "last_name": "IPPOLITO",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Warrensville Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.