Active NPI
Selena D. Finch, CNP
- Gerontology Nurse Practitioner
- Cleveland, OH
National Provider Identifier
1821231630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- AG01180189
- Practice address
- 10701 East Blvd
Cleveland, OH 44106-1702 - Phone
- (216) 333-8139
- NPI assigned
- Apr 8, 2009
- Last updated
- Jul 20, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | AG01180189 | OH | Primary |
| Registered Nurse | 163W00000X | RN343668 | OH |
Addresses
Primary practice location
10701 East Blvd
Cleveland, OH 44106-1702
Mailing address
40 Jackson Blvd
Bedford, OH 44146-2067
Phone (216) 326-6979
Other practice location 1
12814 Marston Ave
2nd Floor
Cleveland, OH 44105-5558
Phone (216) 326-6979
Other names 1
- Ms. Selena Diane Finch
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240208003994 | OH | Order and Referring Only - Geriatric Medicine | 1153764881 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN343668 | OH | MD | Registered Nurse |
| AG01180189 | OH | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595203200000",
"number": "1821231630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 JACKSON BLVD",
"city": "BEDFORD",
"state": "OH",
"postal_code": "441462067",
"telephone_number": "216-326-6979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10701 EAST BLVD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441061702",
"telephone_number": "216-333-8139"
}
],
"practiceLocations": [
{
"address_1": "12814 Marston Ave",
"address_2": "2nd Floor",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441055558",
"country_code": "US",
"telephone_number": "216-326-6979",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FINCH",
"first_name": "SELENA",
"middle_name": "D.",
"name_prefix": "Ms.",
"credential": "CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-08",
"last_updated": "2020-07-20",
"certification_date": "2020-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OH",
"license": "AG01180189",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN343668",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SELENA",
"last_name": "FINCH",
"middle_name": "DIANE",
"prefix": "MS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.