Active NPI
Courtney B Holzheimer, CNP
- Pediatric Nurse Practitioner
- Cleveland, OH
National Provider Identifier
1720287105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- RN-241434
- Practice address
- 6511 Fleet Ave
Cleveland, OH 44105-3416 - Phone
- (216) 341-9227
- Fax
- (216) 341-3208
- NPI assigned
- Jul 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN-241434 | OH | Primary |
Addresses
Primary practice location
6511 Fleet Ave
Cleveland, OH 44105-3416
Mailing address
275 Springside Dr
Suite 100
Akron, OH 44333-4548
Phone (234) 466-4083
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-241434 | OH | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meridia Medical Group, LLC | Past | Accepting new patients |
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.
-
- Specialist
- Warrensville Heights, OH
- NPI 1316992944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197504000000",
"number": "1720287105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 SPRINGSIDE DR",
"address_2": "SUITE 100",
"city": "AKRON",
"state": "OH",
"postal_code": "443334548",
"telephone_number": "234-466-4083",
"fax_number": "866-211-7728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6511 FLEET AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441053416",
"telephone_number": "216-341-9227",
"fax_number": "216-341-3208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLZHEIMER",
"first_name": "COURTNEY",
"middle_name": "B",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-16",
"last_updated": "2007-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OH",
"license": "RN-241434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.