Halyna V. Sul, AGNP-C

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

LE00020743 Issued in OH

Practice address

6770 Mayfield Rd Ste 425
Cleveland, OH 44124-2299

Phone

(440) 312-9041

NPI assigned

Aug 2, 2017

Last updated

Aug 2, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Longevity Clinical LTC Associates of Ohio, Inc.

  • Gerontology Nurse Practitioner
  • Parma, OH
  • NPI 1114609815
  Medicare reassignment NPD
• Rajesh Agarwal MD, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Mayfield Heights, OH
  • NPI 1942422035
  Medicare reassignment NPD

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501632000000",
    "number": "1629592407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7743 ARBOR DR",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441307602",
            "telephone_number": "440-759-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6770 MAYFIELD RD STE 425",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441242299",
            "telephone_number": "440-312-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUL",
        "first_name": "HALYNA",
        "middle_name": "V.",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-02",
        "last_updated": "2017-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "LE00020743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John H Suh, M.D.
• Charmaine Sukdeo, DO
• Nontapat Sukhonpanich, MD
• Roxanne B Sukol, MD
• Persen Sukpornchairak
• Lidiya Volodymyrivna Sul, DO
• Angeline Sulak, LISW-S
• James Michael Sulecki Jr., APRN
• Kathleen Erin Sulka, FNP
• Christina Sulkowski, PA-C

• Gerontology Nurse Practitioner in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Gerontology Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.