Individual provider Active NPI

Ivana Gregov, RN, BSN

  • Student Health Clinic/Center
  • Beachwood, OH
National Provider Identifier
1477344984
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
RN.495714 Issued in OH
Practice address
3628 Walnut Hills Ave Ste 112
Beachwood, OH 44122-4484
Phone
(440) 856-5209
Fax
(440) 856-5209
NPI assigned
May 14, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X RN.495714 OH Primary

Addresses

Primary practice location

3628 Walnut Hills Ave Ste 112
Beachwood, OH 44122-4484

Mailing address

3628 Walnut Hills Ave Ste 112
Beachwood, OH 44122-4484
Phone (440) 856-5209

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN.495714OHMDStudent Health Clinic/Center

NPI Registry JSON

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1477344984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3628 WALNUT HILLS AVE STE 112",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224484",
            "telephone_number": "440-856-5209",
            "fax_number": "440-856-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3628 WALNUT HILLS AVE STE 112",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224484",
            "telephone_number": "440-856-5209",
            "fax_number": "440-856-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGOV",
        "first_name": "IVANA",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "OH",
            "license": "RN.495714",
            "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 May 14, 2025; 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.