Individual provider Active NPI

Ada Nworie, RN, PHMNP

  • Psychiatry Physician
  • Shaker Heights, OH
National Provider Identifier
1760901524
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
APRN.CNP.0033584 Issued in OH
Practice address
3535 Lee Road
Shaker Heights, OH 44120
Phone
(216) 663-8188
Fax
(216) 938-8056
NPI assigned
Sep 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X APRN.CNP.0033584 OH Primary

Addresses

Primary practice location

3535 Lee Road
Shaker Heights, OH 44120

Mailing address

3535 Lee Rd
Shaker Heights, OH 44120-5122
Phone (216) 663-8188

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
I20230606000334 OH Practitioner - Nurse Practitioner 6406877463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alliant Treatment CenterGroup PAC ID 9133486285, 4 clinicians

Practice addresses (Care Compare)

3535 Lee Rd
Shaker Heights, OH 44120-5122
Phone (216) 554-4211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0033584OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliant Treatment Center Addiction (Substance Use Disorder) CurrentSince May 5, 2023 Accepting new patients
Alliant Treatment Center Psychiatry Current Accepting new patients
Alliant Health Services Current Accepting new patients
Alliant Health Current Accepting new patients
Alliant Health Group Addiction (Substance Use Disorder) Current Accepting new patients
Protem Hospice PastSince Aug 1, 2012 Accepting new patients

Locations

17608 Euclid Ave
Cleveland, OH 44112
Phone (216) 417-6166

3535 Lee Rd
Shaker Hts, OH 44120
Phone (216) 417-6166

Interoperability endpoints

  • FHIR API: https://api.allianthealthplansfhir.com/r4

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Protem HomecareShaker Heights, OH, CCN 368150 Home health agency 5% Or Greater Direct Ownership Interest
General Partnership Interest
Corporate Director
W-2 Managing Employee
Feb 13, 2012
Dec 19, 2005
Dec 19, 2005
Dec 3, 2004

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1760901524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 LEE RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441205122",
            "telephone_number": "216-663-8188",
            "fax_number": "216-938-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 LEE ROAD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "44120",
            "telephone_number": "216-663-8188",
            "fax_number": "216-938-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWORIE",
        "first_name": "ADA",
        "credential": "RN, PHMNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2023-05-03",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "APRN.CNP.0033584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shaker Heights, OH

Sources for this page

Verify at the official NPI Registry.