Individual provider Active NPI

Rachel Elizabeth Poullas, APRN-CNP

  • Family Nurse Practitioner
  • Cortland, OH
National Provider Identifier
1629684857
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0027637 Issued in OH
Practice address
2249 State Route 5
Cortland, OH 44410-9333
Phone
(330) 372-1608
NPI assigned
Sep 22, 2020
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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 APRN.CNP.0027637 OH Primary

Addresses

Primary practice location

2249 State Route 5
Cortland, OH 44410-9333

Mailing address

8314 Weathered Wood TRL
Poland, OH 44514-2876
Phone (330) 503-7256

Other practice location 1

1244 E Market St
Warren, OH 44483-6606
Phone (330) 395-6101

Other names 1

  • Miss Rachel Elizabeth Logan Former name

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
I20201110003266 OH Practitioner - Nurse Practitioner 9537579115 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0027637OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Robert F Naples DO Inc CurrentSince Jul 4, 2025 Accepting new patients
Warren Otologic Group, Inc Otolaryngology CurrentSince Dec 2, 2020 Accepting new patients
Peak Performance Physical Therapy Past Accepting new patients

Locations

2249 State Route 5
Cortland, OH 44410
Phone (330) 372-1608

1244 E Market St
Warren, OH 44483
Phone (330) 395-6101

3893 E Market St
Warren, OH 44484
Phone (330) 856-4000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1629684857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8314 WEATHERED WOOD TRL",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445142876",
            "telephone_number": "330-503-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2249 STATE ROUTE 5",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444109333",
            "telephone_number": "330-372-1608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1244 E Market St",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444836606",
            "country_code": "US",
            "telephone_number": "330-395-6101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POULLAS",
        "first_name": "RACHEL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0027637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "LOGAN",
            "middle_name": "ELIZABETH",
            "prefix": "MISS",
            "credential": "APRN-CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cortland, OH

Sources for this page

Verify at the official NPI Registry.