Active NPI
Caitlin Fillioe, FNP
- Family Nurse Practitioner
- South Euclid, OH
National Provider Identifier
1750867958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.0027704
- Practice address
- 2054 S Green Rd
South Euclid, OH 44121-4243 - Phone
- (216) 291-9210
- NPI assigned
- Jul 11, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F343273 | NY | |
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0027704 | OH | Primary |
Addresses
Primary practice location
2054 S Green Rd
South Euclid, OH 44121-4243
Mailing address
290 Greenbriar Dr
Avon Lake, OH 44012-2139
Phone (240) 925-7514
Other practice location 1
5900 N Burdick St Ste 215
East Syracuse, NY 13057-9465
Phone (315) 656-8750
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)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F343273 | NY | MD | Family Nurse Practitioner |
| APRN.CNP.0027704 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Shelly David Senders, MD, Inc | Current | Accepting new patients | |
| Madison Irving Pediatrics, PC | Past | Accepting new patients |
Locations
2054 S Green Rd
South Euclid, OH 44121
Phone (216) 291-9210
Interoperability endpoints
- https://api.platform.athenahealth.com/3682/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Pediatrics Physician
- South Euclid, OH
- NPI 1033381462
-
- Pediatric Adolescent Medicine Physician
- East Syracuse, NY
- NPI 1063576312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604016000000",
"number": "1750867958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 GREENBRIAR DR",
"city": "AVON LAKE",
"state": "OH",
"postal_code": "440122139",
"telephone_number": "240-925-7514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2054 S GREEN RD",
"city": "SOUTH EUCLID",
"state": "OH",
"postal_code": "441214243",
"telephone_number": "216-291-9210"
}
],
"practiceLocations": [
{
"address_1": "5900 N Burdick St Ste 215",
"address_purpose": "LOCATION",
"city": "East Syracuse",
"state": "NY",
"postal_code": "130579465",
"country_code": "US",
"telephone_number": "315-656-8750",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FILLIOE",
"first_name": "CAITLIN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-11",
"last_updated": "2020-10-30",
"certification_date": "2020-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F343273",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.0027704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Euclid, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.