Active NPI
Resilient Providers LLC
- Nurse Practitioner
- Beachwood, OH
National Provider Identifier
1407700966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- RESILIENT PROVIDERS LLC
- Practice address
- 3659 Green Rd Ste 100-4
Beachwood, OH 44122-5727 - Phone
- (216) 394-2275
- Fax
- (216) 649-0665
- NPI assigned
- Feb 23, 2026
- Last updated
- Mar 13, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Sharale Fowler, DNP, PMHNP, CNE
- Title
- Ceo
- Phone
- (216) 394-2275
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NU | Primary |
Addresses
Primary practice location
3659 Green Rd Ste 100-4
Beachwood, OH 44122-5727
Mailing address
3659 Green Rd Ste 100-4
Beachwood, OH 44122-5727
Phone (216) 394-2275
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3659 Green Rd
Ste 1004
Beachwood, OH 44122
Phone (216) 394-2275
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Cleveland, OH
- NPI 1861359556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771804800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773360000000",
"number": "1407700966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3659 GREEN RD STE 100-4",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225727",
"telephone_number": "216-394-2275",
"fax_number": "216-649-0665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3659 GREEN RD STE 100-4",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225727",
"telephone_number": "216-394-2275",
"fax_number": "216-649-0665"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESILIENT PROVIDERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-23",
"last_updated": "2026-03-13",
"certification_date": "2026-03-13",
"status": "A",
"authorized_official_last_name": "FOWLER",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "SHARALE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "216-394-2275",
"authorized_official_credential": "DNP, PMHNP, CNE"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"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 Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.