Organization Active NPI

Starlight NP LLC

  • Nurse Practitioner
  • Westlake, OH
National Provider Identifier
1588050223
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
STARLIGHT NP LLC
Practice address
915 Bassett Rd
Westlake, OH 44145-1108
Phone
(440) 462-2600
Fax
(440) 250-8670
NPI assigned
Apr 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Authorized official

Name
Susan Griffiths, LNHA
Title
Member/Owner
Phone
(440) 462-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

915 Bassett Rd
Westlake, OH 44145-1108

Mailing address

915 Bassett Rd
Westlake, OH 44145-1108
Phone (440) 462-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150624003210 OH Part B Supplier - Clinic/Group Practice 1254642739 Receives reassigned benefits from 2 practitioners
Practice locations: Cleveland, OH; Westlake, OH; Geneva, OH

National Provider Directory

National Provider Directory

Locations

27310 W Oviatt Rd
Bay Village, OH 44140
Phone (440) 835-3005

915 Bassett Rd
Westlake, OH 44145
Phone (440) 462-2600

29591 Detroit Rd
Westlake, OH 44145
Phone (440) 462-2600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1588050223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 BASSETT RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451108",
            "telephone_number": "440-462-2600",
            "fax_number": "440-250-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 BASSETT RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451108",
            "telephone_number": "440-462-2600",
            "fax_number": "440-250-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARLIGHT NP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "GRIFFITHS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "440-462-2600",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.