Individual provider Active NPI

Heather Lei Kondis

  • Family Nurse Practitioner
  • Brookpark, OH
National Provider Identifier
1538557541
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0041378 Issued in OH
Practice address
15900 Snow Rd Ste 600
Brookpark, OH 44142-2861
Phone
(440) 467-2266
Fax
(216) 417-1854
NPI assigned
Dec 27, 2014
Last updated
Mar 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0041378 OH Primary
Critical Care Medicine Registered Nurse 163WC0200X 366230 OH
General Practice Registered Nurse 163WG0000X 0001222531 VA

Addresses

Primary practice location

15900 Snow Rd Ste 600
Brookpark, OH 44142-2861

Mailing address

15900 Snow Rd Ste 600
Brookpark, OH 44142-2861
Phone (440) 467-2266

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
366230OHMDCritical Care Medicine Registered Nurse
0001222531VAMDGeneral Practice Registered Nurse
0041378OHMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1419638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1538557541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15900 SNOW RD STE 600",
            "city": "BROOKPARK",
            "state": "OH",
            "postal_code": "441422861",
            "telephone_number": "440-467-2266",
            "fax_number": "216-417-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15900 SNOW RD STE 600",
            "city": "BROOKPARK",
            "state": "OH",
            "postal_code": "441422861",
            "telephone_number": "440-467-2266",
            "fax_number": "216-417-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONDIS",
        "first_name": "HEATHER",
        "middle_name": "LEI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-27",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0041378",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "OH",
            "license": "366230",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "VA",
            "license": "0001222531",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookpark, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.