Individual provider Active NPI

Taylor Nix

  • Family Nurse Practitioner
  • Cleveland, OH
National Provider Identifier
1396217030
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
023931 Issued in OH
Practice address
10553 Saint Clair Ave
Cleveland, OH 44108-1973
Phone
(216) 682-7702
NPI assigned
Dec 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 023931 OH Primary

Addresses

Primary practice location

10553 Saint Clair Ave
Cleveland, OH 44108-1973

Mailing address

10553 Saint Clair Ave
Cleveland, OH 44108-1973

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Nonexistent

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
I20200410001846 OH Practitioner - Nurse Practitioner 3779912811 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh-Oh Physicians Group PCGroup PAC ID 1759639693, 67 clinicians

Practice addresses (Care Compare)

10553 Saint Clair Ave
Cleveland, OH 44108-1973
Phone (216) 682-7702

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
023931OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Current Accepting new patients
Central Outreach Wellness Center CurrentSince Mar 1, 2022 Accepting new patients
Osh-Oh Physicians Group PC CurrentSince Nov 7, 2022 Accepting new patients
Vpa PC CurrentSince Oct 1, 2022 Accepting new patients
Vpa PC Current Accepting new patients
Cosmopolitan Dermatology, Inc. CurrentSince Mar 1, 2022 Accepting new patients
Vpa PC CurrentSince Oct 1, 2022 Accepting new patients
Vpa PC Current Accepting new patients

Locations

10553 Saint Clair Ave
Cleveland, OH 44108
Phone (216) 682-7702

2040 Lee Rd
Cleveland Heights, OH 44118
Phone (216) 258-0248

2323 Lee Rd
Cleveland Hts, OH 44118
Phone (216) 235-0408

7350 Industrial Park Blvd
Mentor, OH 44060
Phone (216) 732-9480

Interoperability endpoints

  • Direct secure messaging: tnix279806@direct.metrohealth.org

Organizations & group practices 8

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1396217030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10553 SAINT CLAIR AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441081973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10553 SAINT CLAIR AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441081973",
            "telephone_number": "216-682-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIX",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-19",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "023931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Nonexistent",
            "affiliation": "N",
            "address_1": "28100 Chagrin Blvd",
            "city": "Woodmere",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441224522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.