Active NPI
Jana Martin-Ailoae
- Psychiatric/Mental Health Nurse Practitioner
- Medina, OH
National Provider Identifier
1427890268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 00000000000000000000
- Practice address
- 3187 Rustic Valley Dr
Medina, OH 44256-8719 - Phone
- (440) 552-4658
- NPI assigned
- Jun 12, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 00000000000000000000 | OH | Primary |
Addresses
Primary practice location
3187 Rustic Valley Dr
Medina, OH 44256-8719
Mailing address
3187 Rustic Valley Dr
Medina, OH 44256-8719
Phone (440) 552-4658
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Cincinnati, OH 45263
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00000000000000000000 | OH | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CNP Operating Co LLC | Current | Accepting new patients |
Locations
8055 Addison Rd
Masury, OH 44438
Phone (330) 448-2547
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1427890268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3187 RUSTIC VALLEY DR",
"city": "MEDINA",
"state": "OH",
"postal_code": "442568719",
"telephone_number": "440-552-4658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3187 RUSTIC VALLEY DR",
"city": "MEDINA",
"state": "OH",
"postal_code": "442568719",
"telephone_number": "440-552-4658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN-AILOAE",
"first_name": "JANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-12",
"last_updated": "2024-06-12",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OH",
"license": "00000000000000000000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.