Active NPI
Sherri M Kulewsky, CNP
- Adult Health Nurse Practitioner
- Independence, OH
National Provider Identifier
1255698494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 12569
- Practice address
- 6100 Rockside Woods Blvd N
Suite 425
Independence, OH 44131-2366 - Phone
- (216) 643-2780
- Fax
- (216) 524-0111
- NPI assigned
- Apr 12, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 12569 | OH | Primary |
Addresses
Primary practice location
6100 Rockside Woods Blvd N
Suite 425
Independence, OH 44131-2366
Mailing address
6100 Rockside Woods Blvd N
Suite 425
Independence, OH 44131-2366
Phone (216) 643-2780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12569 | OH | MD | Adult Health Nurse Practitioner |
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": "1334188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334188800000",
"number": "1255698494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6100 ROCKSIDE WOODS BLVD N",
"address_2": "SUITE 425",
"city": "INDEPENDENCE",
"state": "OH",
"postal_code": "441312366",
"telephone_number": "216-643-2780",
"fax_number": "216-524-0111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 ROCKSIDE WOODS BLVD N",
"address_2": "SUITE 425",
"city": "INDEPENDENCE",
"state": "OH",
"postal_code": "441312366",
"telephone_number": "216-643-2780",
"fax_number": "216-524-0111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULEWSKY",
"first_name": "SHERRI",
"middle_name": "M",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-12",
"last_updated": "2012-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OH",
"license": "12569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Independence, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.