Individual provider Active NPI

Jodie E Braunscheidel, D.C., APRN

  • Family Nurse Practitioner
  • Bedford HTS, OH
National Provider Identifier
1598072977
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0033197 Issued in OH
Practice address
24932 - C Aurora Rd
Bedford HTS, OH 44146
Phone
(440) 439-5385
Fax
(440) 439-9447
NPI assigned
Sep 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4085 OH
Family Nurse Practitioner 363LF0000X 0033197 OH Primary

Addresses

Primary practice location

24932 - C Aurora Rd
Bedford HTS, OH 44146

Mailing address

140 Charles Ave
Amherst, OH 44001-2076

Other identifiers 1

IdentifierTypeStateIssuer
0033197OtherOHOHIO BOARD OF NURSING

Other names 1

  • Jodie Cullen Professional name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4085OHMDChiropractor
0033197OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lakewood Pain Management & Chiropractic LLC Chiropractor CurrentSince Apr 30, 2012 Accepting new patients

Locations

1451 W 117th St
Lakewood, OH 44107
Phone (216) 529-0181

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": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1598072977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 CHARLES AVE",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440012076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24932 - C AURORA RD",
            "city": "BEDFORD HTS",
            "state": "OH",
            "postal_code": "44146",
            "telephone_number": "440-439-5385",
            "fax_number": "440-439-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUNSCHEIDEL",
        "first_name": "JODIE",
        "middle_name": "E",
        "name_prefix": "Miss",
        "credential": "D.C., APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-08",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4085",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0033197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BOARD OF NURSING",
            "identifier": "0033197",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODIE",
            "last_name": "CULLEN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bedford HTS, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.