Individual provider Active NPI

Traci Sharkey-Wells, CNP

  • Nurse Practitioner
  • Parma Heights, OH
National Provider Identifier
1588079552
Registry record updated Aug 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
16070-NP Issued in OH
Practice address
6785 W 130TH St
Suite 101
Parma Heights, OH 44130-7817
Phone
(440) 843-8888
Fax
(440) 843-8887
NPI assigned
Jun 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 16070-NP OH Primary

Addresses

Primary practice location

6785 W 130TH St
Suite 101
Parma Heights, OH 44130-7817

Mailing address

6785 W 130TH St Ste 101
Parma Heights, OH 44130-7817
Phone (440) 843-8888

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
I20150203000752 OH Practitioner - Nurse Practitioner 2668797226 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16070-NPOHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Zuhayr T. Madhun M.D., Inc. CurrentSince Nov 15, 2014 Accepting new patients

Locations

6785 W 130th St
Ste 101
Parma Heights, OH 44130
Phone (440) 843-8888

Interoperability endpoints

  • Direct secure messaging: tsharkeywells28246@ehrdirect.uhhospitals.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438992000000",
    "number": "1588079552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6785 W 130TH ST STE 101",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441307817",
            "telephone_number": "440-843-8888",
            "fax_number": "440-843-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6785 W 130TH ST",
            "address_2": "SUITE 101",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441307817",
            "telephone_number": "440-843-8888",
            "fax_number": "440-843-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARKEY-WELLS",
        "first_name": "TRACI",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-27",
        "last_updated": "2015-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "16070-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma Heights, OH

Sources for this page

Verify at the official NPI Registry.