Individual provider Active NPI

Kayla Stewart, MSN, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lakewood, OH
National Provider Identifier
1750151874
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0036170 Issued in OH
Practice address
2040 Elbur Ave
Lakewood, OH 44107-6114
Phone
(330) 303-5380
NPI assigned
Jan 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0036170 OH Primary

Addresses

Primary practice location

2040 Elbur Ave
Lakewood, OH 44107-6114

Mailing address

2040 Elbur Ave
Lakewood, OH 44107-6114
Phone (330) 303-5380

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
I20240607000478 OH Practitioner - Nurse Practitioner 7618419458 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Haely Chiropractic, Inc. CurrentSince May 14, 2024 Accepting new patients
Sondermind Provider Network LLC Psychiatric/Mental Health CurrentSince Oct 7, 2024 Accepting new patients
Inner Bloom Psychiatric Services, LLC Psychiatric/Mental Health CurrentSince Aug 17, 2025 Accepting new patients
Comprehensive Minds LLC CurrentSince May 14, 2024 Accepting new patients
Strive Cle Counseling LLC PastSince Jan 1, 2024 Accepting new patients

Locations

7500 Town Centre Dr
Ste 300
Broadview Hts, OH 44147
Phone (440) 554-0035

20 S 3rd St
Ste 210
Columbus, OH 43215
Phone (614) 208-4973

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1750151874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 ELBUR AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441076114",
            "telephone_number": "330-303-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 ELBUR AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441076114",
            "telephone_number": "330-303-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "KAYLA",
        "credential": "MSN, APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0036170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, OH

Sources for this page

Verify at the official NPI Registry.