Individual provider Active NPI

Charlethea West, NP

  • Family Nurse Practitioner
  • Highland Heights, OH
National Provider Identifier
1629489745
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.15842-NP Issued in OH
Practice address
677 Alpha Dr
Highland Heights, OH 44143-2164
Phone
(440) 385-2736
NPI assigned
May 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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 COA.15842-NP OH Primary

Addresses

Primary practice location

677 Alpha Dr
Highland Heights, OH 44143-2164

Mailing address

349 Appletree Dr
Painesville, OH 44077-5296

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
I20140710001487 OH Practitioner - Nurse Practitioner 8921223769 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Open Water Counseling and Recovery LLCGroup PAC ID 8527487750, 16 clinicians
Impact Health PCGroup PAC ID 0941562664, 79 clinicians
Impact Health Advanced Care PCGroup PAC ID 8325537863, 18 clinicians
Ultra Health LLCGroup PAC ID 6800186602, 151 clinicians

Practice addresses (Care Compare)

1716 N Rd SE
Warren, OH 44484-2907
Phone (330) 539-3200

6690 Beta Dr
Suite 118
Mayfield Village, OH 44143-2359
Phone (203) 497-3861

7010 Rowan Hill Dr
Cincinnati, OH 45227-3380
Phone (731) 394-1145

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.15842-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Health Advanced Care PC CurrentSince Oct 1, 2025 Accepting new patients
Ultra Health LLC CurrentSince Apr 28, 2025 Accepting new patients
Open Water Counseling and Recovery, LLC CurrentSince Aug 5, 2025 Accepting new patients
Open Water Counseling and Recovery, LLC CurrentSince Aug 5, 2025 Accepting new patients
Tranquil Society Current Accepting new patients
Impact Health P.C. Family CurrentSince Jul 1, 2025 Accepting new patients
West Express Weight Loss Company Current Accepting new patients
Crossroads Hospice of Northeast PastSince Apr 20, 2015 Accepting new patients

Locations

240 Indian River Rd
Ste C7
Orange, CT 06477
Phone (203) 497-3867

1212 Lake Ave
Ashtabula, OH 44004
Phone (330) 539-3200

6831 Chapel Rd
Madison, OH 44057
Phone (440) 428-5103

6690 Beta Dr
Ste 118
Mayfield Vlg, OH 44143
Phone (216) 678-2253

1716 North Rd SE
Warren, OH 44484
Phone (330) 399-9776

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/openwatercounseling/r4/
  • FHIR API: https://api.platform.athenahealth.com/14578/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1629489745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 APPLETREE DR",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440775296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 ALPHA DR",
            "city": "HIGHLAND HEIGHTS",
            "state": "OH",
            "postal_code": "441432164",
            "telephone_number": "440-385-2736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "CHARLETHEA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-12",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.15842-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Heights, OH

Sources for this page

Verify at the official NPI Registry.