Active NPI
Sandra L Stratman, APN
- Adult Health Nurse Practitioner
- Beachwood, OH
National Provider Identifier
1376887463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- COA 08509 - NP
- Practice address
- 3619 Park East Dr
#318
Beachwood, OH 44122-4330 - Phone
- (216) 896-0639
- NPI assigned
- Nov 15, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | COA 08509 - NP | OH | Primary |
Addresses
Primary practice location
3619 Park East Dr
#318
Beachwood, OH 44122-4330
Mailing address
8557 Harvest Home Dr
Mentor, OH 44060-1964
Phone (440) 463-3966
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA 08509 - NP | OH | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jamal Azem, M.D., Inc | Past | Accepting new patients | |
| Cleveland Kidney Disease Associates | Past | Accepting new patients | |
| CDC Physicians Organization, Inc. | Past | Accepting new patients |
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.
-
- Nephrology Physician
- Shaker Heights, OH
- NPI 1073682209
-
- Nephrology Physician
- Beachwood, OH
- NPI 1023263118
-
- Specialist
- Willoughby, OH
- NPI 1992835656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392076800000",
"number": "1376887463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8557 HARVEST HOME DR",
"city": "MENTOR",
"state": "OH",
"postal_code": "440601964",
"telephone_number": "440-463-3966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3619 PARK EAST DR",
"address_2": "#318",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441224330",
"telephone_number": "216-896-0639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRATMAN",
"first_name": "SANDRA",
"middle_name": "L",
"credential": "APN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-15",
"last_updated": "2014-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OH",
"license": "COA 08509 - NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.