Jaimie N. Banozic, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

NP08108 Issued in OH

Practice address

2500 E 22ND St
Cleveland, OH 44115-3204

Phone

(216) 931-1407

Fax

(216) 931-1414

NPI assigned

Jul 5, 2006

Last updated

May 12, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Great Health Medical Oh Inc

  • Family Medicine Physician
  • Wooster, OH
  • NPI 1104630912
  Medicare reassignment NPD
• Geriatric Nurse Practitioners, Inc.

  • Nurse Practitioner
  • Akron, OH
  • NPI 1427008200
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1760413041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E 22ND ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153204",
            "telephone_number": "216-931-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E 22ND ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153204",
            "telephone_number": "216-931-1407",
            "fax_number": "216-931-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANOZIC",
        "first_name": "JAIMIE",
        "middle_name": "N.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "NP08108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2544536",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janay Bankston
• Jessica Bann, LPCC-S
• Terry Bann, PA-C
• Marissa Bano, MD
• Rizwana Bano
• Agam Bansal, MD
• Divija Bansal, MD
• Priyanshu Bansal, MD
• Sahil Bansal, M.B.B.S
• Fahima Aktar Banu

• Adult Health Nurse Practitioner in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Adult Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.