Organization Active NPI

Modern Patriot Exams LLC

  • Nurse Practitioner
  • Westlake, OH
National Provider Identifier
1700734464
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
MODERN PATRIOT EXAMS LLC
Practice address
27991 Center Ridge Rd
Westlake, OH 44145-3902
Phone
(330) 888-3542
NPI assigned
Mar 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Authorized official

Name
Douglas Shelton
Title
Member
Phone
(330) 888-3542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

27991 Center Ridge Rd
Westlake, OH 44145-3902

Mailing address

785 Walden Pond Cir
Hinckley, OH 44233-9299
Phone (330) 888-3542

National Provider Directory

National Provider Directory

Locations

27991 Center Ridge Rd
Westlake, OH 44145
Phone (440) 250-0696

NPI Registry JSON

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

{
    "created_epoch": "1773792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1700734464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 WALDEN POND CIR",
            "city": "HINCKLEY",
            "state": "OH",
            "postal_code": "442339299",
            "telephone_number": "330-888-3542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27991 CENTER RIDGE RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441453902",
            "telephone_number": "330-888-3542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN PATRIOT EXAMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-18",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "330-888-3542"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.