Individual provider Active NPI

Caitlin Fillioe, FNP

  • Family Nurse Practitioner
  • South Euclid, OH
National Provider Identifier
1750867958
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0027704 Issued in OH
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

Updated by the provider on Oct 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
F343273NYMDFamily Nurse Practitioner
APRN.CNP.0027704OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Shelly David Senders, MD, Inc CurrentSince Jul 15, 2021 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.