Individual provider Active NPI

Christine L Brown

  • Adult Health Nurse Practitioner
  • Westlake, OH
National Provider Identifier
1700532413
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN.CNP.0030813 Issued in OH
Practice address
29505 Detroit Rd
Westlake, OH 44145-1932
Phone
(440) 871-5181
NPI assigned
Feb 22, 2022
Last updated
Dec 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN.CNP.0030813 OH Primary

Addresses

Primary practice location

29505 Detroit Rd
Westlake, OH 44145-1932

Mailing address

2045 Canterbury Rd
Westlake, OH 44145-3227
Phone (440) 655-8386

Other practice location 1

2045 Canterbury Rd
Westlake, OH 44145-3227
Phone (440) 655-8386

Other practice location 2

9500 Euclid Ave
Cleveland, OH 44195-3227
Phone (216) 444-2200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Cbrown@nivalishc.net Direct

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
I20230123002573 OH Practitioner - Nurse Practitioner 7719374081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Starlight NP, LLCGroup PAC ID 1254642739, 2 clinicians

Practice addresses (Care Compare)

915 Bassett Rd
Westlake, OH 44145-1108
Phone (440) 462-2600

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Starlight NP LLC CurrentSince Aug 30, 2022 Accepting new patients
Nivalis Health LLC CurrentSince Aug 30, 2022 Accepting new patients

Locations

29505 Detroit Rd
Westlake, OH 44145
Phone (440) 871-5181

915 Bassett Rd
Westlake, OH 44145
Phone (440) 462-2600

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.

NPI Registry JSON

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1700532413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 CANTERBURY RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441453227",
            "telephone_number": "440-655-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29505 DETROIT RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451932",
            "telephone_number": "440-871-5181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2045 Canterbury Rd",
            "address_purpose": "LOCATION",
            "city": "Westlake",
            "state": "OH",
            "postal_code": "441453227",
            "country_code": "US",
            "telephone_number": "440-655-8386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9500 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441953227",
            "country_code": "US",
            "telephone_number": "216-444-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CHRISTINE",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-12-01",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "APRN.CNP.0030813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Cbrown@nivalishc.net",
            "affiliation": "N",
            "endpointDescription": "E-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2045 Canterbury Rd",
            "city": "Westlake",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441453227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.