Individual provider Active NPI

Amanda Iliano, FNP

  • Family Nurse Practitioner
  • Concord Township, OH
National Provider Identifier
1538647920
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F07180437 Issued in OH
Practice address
7500 Auburn Rd
Concord Township, OH 44077-9602
Phone
(440) 358-5701
Fax
(440) 358-5556
NPI assigned
Jul 30, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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 F07180437 OH Primary

Addresses

Primary practice location

7500 Auburn Rd
Concord Township, OH 44077-9602

Mailing address

7045 Sturbridge Dr
Concord TWP, OH 44077-2372
Phone (440) 382-5793

Other practice location 1

701 N Lake St
Madison, OH 44057-3152
Phone (440) 428-7511

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amandailiano@uhps.allscriptsdirect.net Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180910001975 OH Practitioner - Nurse Practitioner 6507116795 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

27155 Chardon Rd
Suite 205
Richmond HTS, OH 44143-1166
Phone (216) 383-0100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F07180437OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc CurrentSince Sep 1, 2018 Accepting new patients
University Hospitals Regional Practices LLC CurrentSince Dec 4, 2020 Accepting new patients
Community Hospitalist, LLC Family CurrentSince Jul 1, 2021 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Nov 1, 2018 Accepting new patients
University Primary Care Practices Inc CurrentSince Sep 1, 2018 Accepting new patients
University Primary Care Practices Past Accepting new patients

Locations

13207 Ravenna Rd
Chardon, OH 44024
Phone (440) 285-5004

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024

11100 Euclid Ave
Cleveland Heights, OH 44106

7500 Auburn Rd
Ste 2300
Concord Township, OH 44077
Phone (440) 354-9900

7500 Auburn Rd
Concord Township, OH 44077
Phone (440) 358-0400

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

701 N Lake St
Madison, OH 44057
Phone (440) 428-1106

15976 E High St
Ste 100
Middlefield, OH 44062
Phone (440) 632-0770

7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000

27155 Chardon Rd
Ste 205
Richmond Hts, OH 44143
Phone (440) 944-4070

27155 Chardon Rd
Richmond Hts, OH 44143
Phone (440) 569-1153

Interoperability endpoints

  • Direct secure messaging: ailiano28109@ehrdirect.uhhospitals.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1538647920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7045 STURBRIDGE DR",
            "city": "CONCORD TWP",
            "state": "OH",
            "postal_code": "440772372",
            "telephone_number": "440-382-5793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 AUBURN RD",
            "city": "CONCORD TOWNSHIP",
            "state": "OH",
            "postal_code": "440779602",
            "telephone_number": "440-358-5701",
            "fax_number": "440-358-5556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 N Lake St",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "OH",
            "postal_code": "440573152",
            "country_code": "US",
            "telephone_number": "440-428-7511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ILIANO",
        "first_name": "AMANDA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "F07180437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amandailiano@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7500 Auburn Rd",
            "city": "Concord Township",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440779602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Concord Township, OH

Sources for this page

Verify at the official NPI Registry.