Lake Effect Health

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LAKE EFFECT HEALTH

Practice address

7575 Northcliff Ave Ste 103
Brooklyn, OH 44144-3267

Phone

(216) 331-6750

NPI assigned

Sep 27, 2021

Last updated

Sep 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Seana Rutherford, CNPNPI 1932598927

Title

President

Phone

(216) 331-6750

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Seana Rutherford, NP-C

  • Family Nurse Practitioner
  • Brooklyn, OH
  • NPI 1932598927
  Authorized official Same address or phone
• Christopher Ryan Hymer, APRN

  • Family Nurse Practitioner
  • Kettering, OH
  • NPI 1447832787
  NPD (past)

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1700557055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 933291",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 NORTHCLIFF AVE STE 103",
            "city": "BROOKLYN",
            "state": "OH",
            "postal_code": "441443267",
            "telephone_number": "216-331-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE EFFECT HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "RUTHERFORD",
        "authorized_official_first_name": "SEANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-331-6750",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "7908580001",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen D. Blanc DDS Inc (Buckeye Denture Clinic)
• Houssele Sephora Kehi
• Kristin Kelly
• Kellie King, APRN
• Sebrina Denise King
• Murali Lakireddy, DDS
• Johntara D Lanier
• Treina D Lee, LPN/LVN
• Liberty Day Centers, LLC
• Paul Stanley Lieberman, D.P.M.

• Durable Medical Equipment & Medical Supplies in Brooklyn, OH
• Providers in Brooklyn, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.