Rachael Emily Altman, CNP

Individual provider Active NPI Family Nurse Practitioner · Independence, OH

NPI 1639714637 · NPPES record last updated Feb 25, 2021

Key facts

NPI
1639714637
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
APRN.CNP.026555 (OH)
Practice address
5001 Rockside Rd
Independence, OH 44131-2172
Phone
(216) 986-4000
NPI assigned
Nov 13, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20210415000324 OH Practitioner - Nurse Practitioner 7012325871 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.443413OHMDPediatric Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation Current
since Feb 24, 2021
Accepting new patients

Locations

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

5001 Rockside Rd
Independence, OH 44131

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X RN.443413 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.026555 OH Yes

Addresses

Primary practice location

5001 Rockside Rd
Independence, OH 44131-2172

Mailing address

12 Colony LN
Bratenahl, OH 44108-1180
Phone (216) 401-4882

Other providers in Independence, OH

All providers in Independence, OH · Family Nurse Practitioner in Ohio

Sources for this page

Verify at the official NPI Registry.