Active NPI
Preventive Healthcare Direct
- Family Nurse Practitioner
- Lyndhurst, OH
National Provider Identifier
1477424232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- PREVENTIVE HEALTHCARE DIRECT
- Practice address
- 5676 Mayfield Rd
Lyndhurst, OH 44124-2916 - Phone
- (216) 482-7237
- Fax
- (216) 243-9249
- NPI assigned
- Sep 15, 2025
- Last updated
- Oct 15, 2025
- 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
- Debra Bray, FNP
- Title
- Owner
- Phone
- (216) 536-0551
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
5676 Mayfield Rd
Lyndhurst, OH 44124-2916
Mailing address
5676 Mayfield Rd
Lyndhurst, OH 44124-2916
Phone (216) 482-7237
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Family Nurse Practitioner
- Cleveland, OH
- NPI 1508141722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760486400000",
"number": "1477424232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5676 MAYFIELD RD",
"city": "LYNDHURST",
"state": "OH",
"postal_code": "441242916",
"telephone_number": "216-482-7237",
"fax_number": "216-243-9249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5676 MAYFIELD RD",
"city": "LYNDHURST",
"state": "OH",
"postal_code": "441242916",
"telephone_number": "216-482-7237",
"fax_number": "216-243-9249"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREVENTIVE HEALTHCARE DIRECT",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-15",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A",
"authorized_official_last_name": "BRAY",
"authorized_official_first_name": "DEBRA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "216-536-0551",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lyndhurst, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.