Individual provider Active NPI

Katelyn Howell

  • Case Manager/Care Coordinator
  • Willoughby, OH
National Provider Identifier
1366174583
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
37721 Vine St Ste 1
Willoughby, OH 44094-6256
Phone
(440) 525-5305
NPI assigned
Jun 27, 2022
Last updated
Jun 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

37721 Vine St Ste 1
Willoughby, OH 44094-6256

Mailing address

37721 Vine St Ste 1
Willoughby, OH 44094-6256
Phone (440) 525-5305

Other identifiers 1

IdentifierTypeStateIssuer
0405138MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL elevationsllc1@gmail.com Elevations Health Inc.

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elevations Health Inc. CurrentSince Jul 3, 2022 Accepting new patients

Locations

37721 Vine St
Ste 1
Willoughby, OH 44094
Phone (440) 525-5305

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": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1366174583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37721 VINE ST STE 1",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440946256",
            "telephone_number": "440-525-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37721 VINE ST STE 1",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440946256",
            "telephone_number": "440-525-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWELL",
        "first_name": "KATELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0405138",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "elevationsllc1@gmail.com",
            "affiliation": "Y",
            "affiliationName": "Elevations Health Inc.",
            "address_1": "37721 Vine St Ste 1",
            "city": "Willoughby",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440946256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Willoughby, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.