Individual provider Active NPI

Elizabeth Catherine Sutliff, APRN, CNP

  • Family Nurse Practitioner
  • Cortland, OH
National Provider Identifier
1720785462
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0033276 Issued in OH
Practice address
2249 State Route 5
Cortland, OH 44410-9333
Phone
(330) 372-1608
NPI assigned
Feb 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0033276 OH Primary

Addresses

Primary practice location

2249 State Route 5
Cortland, OH 44410-9333

Mailing address

3701 State Route 82
Leavittsburg, OH 44430-9429
Phone (330) 719-0947

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
I20230317001358 OH Practitioner - Nurse Practitioner 0446624241 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0033276OHMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: esutliff@nfm.medentdirect.com

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, 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": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1720785462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 STATE ROUTE 82",
            "city": "LEAVITTSBURG",
            "state": "OH",
            "postal_code": "444309429",
            "telephone_number": "330-719-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2249 STATE ROUTE 5",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444109333",
            "telephone_number": "330-372-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTLIFF",
        "first_name": "ELIZABETH",
        "middle_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0033276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortland, OH

Sources for this page

Verify at the official NPI Registry.