Active NPI
Theresa Early, NP
- Adult Health Nurse Practitioner
- Solon, OH
National Provider Identifier
1639421191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- COA.13284-NP
- Practice address
- 30575 Bainbridge Rd
Ste 300
Solon, OH 44139-2275 - Phone
- (440) 368-6868
- Fax
- (440) 368-6866
- NPI assigned
- Oct 9, 2012
- Last updated
- Aug 7, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | COA.13284-NP | OH | Primary |
Addresses
Primary practice location
30575 Bainbridge Rd
Ste 300
Solon, OH 44139-2275
Mailing address
30575 Bainbridge Rd
Ste 300
Solon, OH 44139-2275
Phone (440) 359-3429
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240403002573 | OH | Order and Referring Only - Nurse Practitioner | 4981857844 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.13284-NP | OH | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carebridge Palliative Services Inc. | Current | Accepting new patients | |
| Hospice of Southwest Ohio, Inc. | Past | Accepting new patients |
Locations
7625 Camargo Rd
Cincinnati, OH 45243
Phone (513) 528-8150
7625 Camargo Rd
Ste 200
Cincinnati, OH 45243
Phone (513) 528-8150
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 2
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.
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- Cincinnati, OH
- NPI 1831423334
-
- Community Based Hospice Care Agency
- Cincinnati, OH
- NPI 1043295611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565136000000",
"number": "1639421191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30575 BAINBRIDGE RD",
"address_2": "STE 300",
"city": "SOLON",
"state": "OH",
"postal_code": "441392275",
"telephone_number": "440-359-3429",
"fax_number": "440-368-6866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30575 BAINBRIDGE RD",
"address_2": "STE 300",
"city": "SOLON",
"state": "OH",
"postal_code": "441392275",
"telephone_number": "440-368-6868",
"fax_number": "440-368-6866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EARLY",
"first_name": "THERESA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-09",
"last_updated": "2019-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OH",
"license": "COA.13284-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Solon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.