Individual provider Active NPI

Sara Elizabeth Klintworth, CNP

  • Family Nurse Practitioner
  • Fairlawn, OH
National Provider Identifier
1407054307
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.023805 Issued in OH
Practice address
3562 Ridge Park Dr Ste D1
Fairlawn, OH 44333-9294
Phone
(330) 664-1670
Fax
(330) 664-1675
NPI assigned
Jul 3, 2007
Reactivated
Oct 31, 2018
Last updated
Dec 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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 APRN.CNP.023805 OH Primary

Addresses

Primary practice location

3562 Ridge Park Dr Ste D1
Fairlawn, OH 44333-9294

Mailing address

7326 Meadow View Dr
Seville, OH 44273-9709
Phone (330) 806-6062

Other practice location 1

7326 Meadow View Dr
Seville, OH 44273-9709
Phone (330) 806-6062

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
I20200107001310 OH Practitioner - Nurse Practitioner 7810321445 Reassigns benefits to 5 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
Mobile Hyperbaric Centers, LLCGroup PAC ID 4082682778, 16 clinicians

Practice addresses (Care Compare)

1000 E Washington St
Medina, OH 44256-2170
Phone (330) 721-5127

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Healthcare Partners, LLC CurrentSince Jan 6, 2020 Accepting new patients
Mobile Hyperbaric Centers, LLC CurrentSince Dec 1, 2021 Accepting new patients
Core Medical Group CurrentSince Mar 1, 2020 Accepting new patients

Locations

127 Public Sq
Ste 2400
Cleveland, OH 44114

18697 Bagley Rd
Bldg D
Cleveland, OH 44130

600 Superior Ave
Ste 2400
Cleveland, OH 44114
Phone (216) 337-1622

7050 Biddulph Rd
Cleveland, OH 44144
Phone (216) 749-7888

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

3562 Ridge Park Dr
Ste D
Fairlawn, OH 44333

3562 Ridge Park Dr
Ste D1
Fairlawn, OH 44333
Phone (330) 664-1670

1000 E Washington St
Medina, OH 44256
Phone (330) 654-1185

1000 E Washington St
Ste 346
Medina, OH 44256

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1407054307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7326 MEADOW VIEW DR",
            "city": "SEVILLE",
            "state": "OH",
            "postal_code": "442739709",
            "telephone_number": "330-806-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3562 RIDGE PARK DR STE D1",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443339294",
            "telephone_number": "330-664-1670",
            "fax_number": "330-664-1675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7326 Meadow View Dr",
            "address_purpose": "LOCATION",
            "city": "Seville",
            "state": "OH",
            "postal_code": "442739709",
            "country_code": "US",
            "telephone_number": "330-806-6062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLINTWORTH",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "deactivation_date": "2018-10-17",
        "reactivation_date": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.023805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

Verify at the official NPI Registry.