Active NPI
Thaddeus Nespeca, MSN, FNP
- Nurse Practitioner
- Cleveland, OH
National Provider Identifier
1407192842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 363L00000X
- Practice address
- 1001 Lakeside Ave E Ste 100
Cleveland, OH 44114-1172 - Phone
- (855) 247-8474
- NPI assigned
- Dec 12, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 363L00000X | OH | Primary |
Addresses
Primary practice location
1001 Lakeside Ave E Ste 100
Cleveland, OH 44114-1172
Mailing address
17902 Sedalia Ave
Cleveland, OH 44135-1122
Phone (216) 339-0407
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
- Certified Nurse Practitioner, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 363L00000X | OH | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768953600000",
"number": "1407192842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17902 SEDALIA AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441351122",
"telephone_number": "216-339-0407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 LAKESIDE AVE E STE 100",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441141172",
"telephone_number": "855-247-8474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NESPECA",
"first_name": "THADDEUS",
"name_prefix": "Mr.",
"credential": "MSN, FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-12",
"last_updated": "2026-01-21",
"certification_date": "2026-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "363L00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.