Individual provider Active NPI

Keyanna M Galbreath

  • Family Nurse Practitioner
  • Cleveland Heights, OH
National Provider Identifier
1700131984
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.022936 Issued in OH
Practice address
3413 Silsby Rd
Cleveland Heights, OH 44118-2922
Phone
(216) 854-6618
NPI assigned
Jul 13, 2012
Last updated
Apr 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.022936 OH Primary
Registered Nurse 163W00000X 379666 OH

Addresses

Primary practice location

3413 Silsby Rd
Cleveland Heights, OH 44118-2922

Mailing address

3413 Silsby Rd
Cleveland Heights, OH 44118-2922

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
I20181018001451 OH Practitioner - Nurse Practitioner 8729330816 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
379666OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Incare Health Solutions LLC CurrentSince Jan 12, 2020 Accepting new patients
Incare Health Solutions, LLC Family CurrentSince Apr 18, 2022 Accepting new patients
The Metrohealth System Current Accepting new patients
Crossroads Hospice of Northeast PastSince Sep 15, 2018 Accepting new patients

Locations

36000 Detroit Rd
Ste 200
Avon, OH 44011
Phone (440) 577-8200

211 Edgefield Blvd
Marion, OH 43302

7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002

2562 W Market St
Tiffin, OH 44883
Phone (567) 938-8008

13916 Cedar Rd
University Hts, OH 44118
Phone (216) 381-9000

Interoperability endpoints

  • Direct secure messaging: kgalbreath272286@direct.metrohealth.org

Organizations & group practices 4

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": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1700131984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3413 SILSBY RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441182922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3413 SILSBY RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441182922",
            "telephone_number": "216-854-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALBREATH",
        "first_name": "KEYANNA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-13",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.022936",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "379666",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland Heights, OH

Sources for this page

Verify at the official NPI Registry.