Wesley Fluellen

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

9900 Denison Ave
Cleveland, OH 44102-4633

Phone

(216) 269-1535

NPI assigned

Aug 22, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Fundamentals First Basketball Academy , LLC

  • Early Intervention Provider Agency
  • Cleveland, OH
  • NPI 1407475080
  NPD Authorized official

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1740761444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "977 EDDY RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441082361",
            "telephone_number": "216-269-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 DENISON AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441024633",
            "telephone_number": "216-269-1535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "680 E 113th St",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441082603",
            "country_code": "US",
            "telephone_number": "216-269-1535 x21626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Linn Dr",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441082755",
            "country_code": "US",
            "telephone_number": "216-269-1535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLUELLEN",
        "first_name": "WESLEY",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Deon Floyd-Bailey
• Nina Floyd
• Sheereeda Floyd
• Sheila Floyd, RPH
• Tierra Floyd
• Selena L Fluker, RN
• Rebecca Lynn Rakow Flyckt, MD
• Broderick Flynn, RN
• Darcy Flynn
• Leah Kathleen Flynn, APRN CNP

• Case Manager/Care Coordinator in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.