Platinum Health and Wellness LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

PLATINUM HEALTH AND WELLNESS LLC

Practice address

22610 Lorain Rd Ste Ur
Fairview Park, OH 44126-2214

Phone

(330) 421-2291

NPI assigned

Jun 19, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Scott A Stickney Jr., APRNNPI 1033729025

Title

Nurse Practitioner

Phone

(330) 421-2291

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott Allen Stickney Jr., FNP-BC

  • Family Nurse Practitioner
  • Wadsworth, OH
  • NPI 1033729025
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1831933548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22610 LORAIN RD STE UR",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441262214",
            "telephone_number": "330-421-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22610 LORAIN RD STE UR",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441262214",
            "telephone_number": "330-421-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "STICKNEY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "330-421-2291",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyt for Function Cleveland West
• Amanda Lynn Pierce
• Tara M Pierce, LISW-S
• Jennifer Kathleen Pineiro, CNP
• Shawn Pischel, LMT
• Mark J Pompeani, DDS
• Jessica Rose Potraz, OTR/L
• Mary Helen Potts, M.A., CCC-A
• Colette Pritchard, CDCA, CT
• Judith L Ptaszek, M.S. CCC-SLP

• Family Nurse Practitioner in Fairview Park, OH
• Providers in Fairview Park, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.