Individual provider Active NPI

Lesley Shull

  • Family Nurse Practitioner
  • Cleveland, OH
National Provider Identifier
1427417377
Registry record updated Feb 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.18390-NP Issued in OH
Practice address
7580 Northcliff Ave Ste 700
Cleveland, OH 44144-3271
Phone
(440) 886-1800
NPI assigned
Feb 21, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2016

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 COA.18390-NP OH Primary

Addresses

Primary practice location

7580 Northcliff Ave Ste 700
Cleveland, OH 44144-3271

Mailing address

7580 Northcliff Ave Ste 700
Cleveland, OH 44144-3271
Phone (440) 886-1800

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
COA.18390-NPOHMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1456012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456012800000",
    "number": "1427417377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7580 NORTHCLIFF AVE STE 700",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441443271",
            "telephone_number": "440-886-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7580 NORTHCLIFF AVE STE 700",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441443271",
            "telephone_number": "440-886-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULL",
        "first_name": "LESLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-21",
        "last_updated": "2016-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.18390-NP",
            "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 Feb 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.