Active NPI
Jodie E Braunscheidel, D.C., APRN
- Family Nurse Practitioner
- Bedford HTS, OH
National Provider Identifier
1598072977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0033197
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0033197 | Other | OH | OHIO BOARD OF NURSING |
Other names 1
- Jodie Cullen
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4085 | OH | MD | Chiropractor |
| 0033197 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakewood Pain Management & Chiropractic LLC | Chiropractor | Current | 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.
-
- Chiropractor
- Lakewood, OH
- NPI 1235292822
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.