Individual provider Active NPI

Kelly Dion, CNP

  • Gerontology Clinical Nurse Specialist
  • Warrensville Heights, OH
National Provider Identifier
1336555069
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X
License
NP-15749 Issued in OH
Practice address
4110 Warrensville Center Road
Warrensville Heights, OH 44122
Phone
(216) 491-6000
NPI assigned
Jul 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Clinical Nurse Specialist 364SG0600X NP-15749 OH Primary

Addresses

Primary practice location

4110 Warrensville Center Road
Warrensville Heights, OH 44122

Mailing address

PO Box 74647
Cleveland, OH 44194-4647
Phone (440) 879-0081

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
I20140801001216 OH Practitioner - Nurse Practitioner 2567688229 Reassigns benefits to 1 organization

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
Atrium Medical Group IncGroup PAC ID 4385626936, 12 clinicians

Practice addresses (Care Compare)

36100 Euclid Ave
Suite 350
Willoughby, OH 44094-4489
Phone (440) 946-8300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP-15749OHMDGerontology Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Atrium Medical Group, Inc CurrentSince Feb 21, 2017 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Cleveland Clinic Health System - East Region Past Accepting new patients

Locations

18901 Lake Shore Blvd
Euclid, OH 44119
Phone (216) 531-9000

99 Northline Cir
Ste 99
Euclid, OH 44119
Phone (216) 692-3668

6780 Mayfield Rd
Mayfield Hts, OH 44124
Phone (440) 331-9520

6555 Wilson Mills Rd
Ste 103D
Mayfield Village, OH 44143
Phone (440) 442-8313

6559 Wilson Mills Rd
Ste 106
Mayfield Vlg, OH 44143
Phone (855) 449-1540

5966 Heisley Rd
Ste 104
Mentor, OH 44060

36100 Euclid Ave
Ste 350
Willoughby, OH 44094
Phone (440) 942-9308

35717 Euclid Ave
Willoughby, OH 44094
Phone (440) 354-0944

Interoperability endpoints

  • Direct secure messaging: kdion7096@direct.ccf.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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1336555069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74647",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441944647",
            "telephone_number": "440-879-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 WARRENSVILLE CENTER ROAD",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "44122",
            "telephone_number": "216-491-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DION",
        "first_name": "KELLY",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "OH",
            "license": "NP-15749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensville Heights, OH

Sources for this page

Verify at the official NPI Registry.