NPIMap

Individual provider Active NPI

Elizabeth Anne Donathan, RN

  • Family Nurse Practitioner
  • Woodmere, OH
National Provider Identifier
1255825857
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.023241 Issued in OH
Practice address
28601 Chagrin Blvd Ste 500
Woodmere, OH 44122-4562
Phone
(216) 565-0312
NPI assigned
Jun 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.423082 OH
Nurse Practitioner 363L00000X APRN.CNP.023241 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.023241 OH Primary

Addresses

Primary practice location

28601 Chagrin Blvd Ste 500
Woodmere, OH 44122-4562

Mailing address

28601 Chagrin Blvd Ste 500
Woodmere, OH 44122-4562
Phone (216) 565-0312

Other identifiers 1

IdentifierTypeStateIssuer
0317656MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180928002064 OH Practitioner - Nurse Practitioner 5193076263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17431 Fish Creek TRL
Chagrin Falls, OH 44023-2126

7134 Fowler Ave
Cincinnati, OH 45243-2504

Hospital & facility affiliations

  • University Hospitals Portage Medical Center Hospital, Ravenna, OH, CCN 360078
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • University Hospitals Ahuja Medical Center Hospital, Beachwood, OH, CCN 360359
  • Summa Western Reserve Hospital Hospital, Cuyahoga Falls, OH, CCN 360150

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.423082OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Plastic Surgery Institute of Ohio, LLC CurrentSince Aug 1, 2018 Accepting new patients

Locations

9318 State Route 14
Streetsboro, OH 44241
Phone (330) 626-4080

9318 State Route 14
Ste E
Streetsboro, OH 44241

4100 Warrensville Center Rd
Ste 101
Warrensville Heights, OH 44122
Phone (216) 561-0111

28601 Chagrin Blvd
Ste 500
Woodmere, OH 44122
Phone (216) 561-0312

Interoperability endpoints

  • Direct secure messaging: edonathan238413@ehrdirect.uhhospitals.org
  • Direct secure messaging: edonathan1226448@direct.ccf.org

Organizations & group practices 2

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.

Hospital & facility affiliations 8

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": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1255825857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28601 CHAGRIN BLVD STE 500",
            "city": "WOODMERE",
            "state": "OH",
            "postal_code": "441224562",
            "telephone_number": "216-565-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28601 CHAGRIN BLVD STE 500",
            "city": "WOODMERE",
            "state": "OH",
            "postal_code": "441224562",
            "telephone_number": "216-565-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONATHAN",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.423082",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.023241",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.023241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0317656",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodmere, OH

Sources for this page

Verify at the official NPI Registry.