Active NPI
Laura Susan Wheaton, CNP
- Family Nurse Practitioner
- Rocky River, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- COA.16600-NP
- Practice address
- 19133 Hilliard Blvd
Rocky River, OH 44116-2907 - Phone
- (216) 228-5500
- Fax
- (216) 227-2628
- NPI assigned
- Sep 30, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.350758-COA1 | OH | |
| Family Nurse Practitioner | 363LF0000X | COA.16600-NP | OH | Primary |
Addresses
Primary practice location
19133 Hilliard Blvd
Rocky River, OH 44116-2907
Mailing address
20455 Lorain Rd
Ste T01
Fairview Park, OH 44126-3494
Phone (440) 799-4224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, MI, MS, GA, AL, VA, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Monogram Health Professional Services PC
Practice addresses (Care Compare)
Richmond, VA 23219
Phone (855) 212-2273
Greenville, SC 29607
Phone (855) 212-2273
Grand Rapids, MI 49503
Phone (615) 673-4455
2700 Corporate Dr
Suite 200
Birmingham, AL 35242-2733
Phone (855) 212-2273
3350 Riverwood Pkwy SE
Suite 1900
Atlanta, GA 30339-2066
Phone (615) 673-4455
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.350758-COA1 | OH | MD | Registered Nurse |
| 29927 | SC | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monogram Health Professional Services PC | Family | Current | Accepting new patients |
| Monogram Health Professional Services PC | Family | Current | Accepting new patients |
| Monogram Health Professional Services PC | Family | Current | Accepting new patients |
Locations
2700 Corporate Dr
Ste 200
Birmingham, AL 35242
Phone (205) 314-4760
3350 Riverwood Pkwy SE
Ste 1900
Atlanta, GA 30339
Phone (404) 277-2167
1000 Highland Colony Pkwy
Ste 5203
Ridgeland, MS 39157
Phone (601) 427-4734
5410 Maryland Way
Ste 400
Brentwood, TN 37027
5410 Maryland Way
Ste 301
Brentwood, TN 37027
Phone (615) 762-3845
Interoperability endpoints
- https://api.platform.athenahealth.com/20074/brand/1/csg/1/fhir/r4
- laura.wheaton.1@22854.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Nephrology Physician
- Brentwood, TN
- NPI 1255930228
Family, GA
-
- Nephrology Physician
- Brentwood, TN
- NPI 1326655986
Family, MS
-
- Nephrology Physician
- Brentwood, TN
- NPI 1336748300
AL, Family
-
- Nephrology Physician
- Brentwood, TN
- NPI 1134739089
MI, SC, VA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420761600000",
"number": "1306249768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20455 LORAIN RD",
"address_2": "STE T01",
"city": "FAIRVIEW PARK",
"state": "OH",
"postal_code": "441263494",
"telephone_number": "440-799-4224",
"fax_number": "440-799-4228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19133 HILLIARD BLVD",
"city": "ROCKY RIVER",
"state": "OH",
"postal_code": "441162907",
"telephone_number": "216-228-5500",
"fax_number": "216-227-2628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEATON",
"first_name": "LAURA",
"middle_name": "SUSAN",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-30",
"last_updated": "2015-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.350758-COA1",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA.16600-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rocky River, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.