Emily Bishop, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

020640 Issued in OH

Practice address

27600 Chagrin Blvd Ste 360
Woodmere, OH 44122-4498

Phone

(216) 342-5795

Fax

(216) 342-5908

NPI assigned

Mar 5, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1488672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1639619067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20455 LORAIN RD STE T1",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441263495",
            "telephone_number": "440-799-4811",
            "fax_number": "440-799-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27600 CHAGRIN BLVD STE 360",
            "city": "WOODMERE",
            "state": "OH",
            "postal_code": "441224498",
            "telephone_number": "216-342-5795",
            "fax_number": "216-342-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "EMILY",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.366928",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "020640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• B & R Podiatry
• Patrice Michelle Bates
• Aman Battle
• Courtney Berg
• Jay Howard Berk, PH.D.
• Michelle Bivins
• Rhonda Blevins
• Lisa Ann Brockwell
• Glenda Leshowne Butler
• Stacey Calhoun

• All providers in Woodmere, OH
• Adult Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.