Individual provider Active NPI

Vanessa Rae Pappalardo, MSN, CRNP

  • Adult Health Nurse Practitioner
  • Twinsburg, OH
National Provider Identifier
1841267119
Registry record updated May 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
NP-08485 Issued in OH
Practice address
2074 Moorland Dr
Twinsburg, OH 44087-3089
Phone
(216) 403-5994
NPI assigned
Mar 3, 2006
Last updated
May 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X NP-08485 OH Primary

Addresses

Primary practice location

2074 Moorland Dr
Twinsburg, OH 44087-3089

Mailing address

1661 Cordova Ave
Lakewood, OH 44107-3605
Phone (216) 529-0148

Other practice location 1

12380 Plaza Dr
Parma, OH 44130-1043
Phone (216) 898-8488

Other practice location 2

2074 Moorland Dr
Twinsburg, OH 44087-3089
Phone (216) 403-5994

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)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP-08485OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carepoint Wound Solutions, LLC Current Accepting new patients
Illumination Therapies, LLC Current Accepting new patients

Locations

12380 Plaza Dr
Parma, OH 44130
Phone (216) 898-8444

12380 Plaza Dr
Ste 101
Parma, OH 44130
Phone (216) 898-8444

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558051200000",
    "number": "1841267119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 CORDOVA AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073605",
            "telephone_number": "216-529-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2074 MOORLAND DR",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440873089",
            "telephone_number": "216-403-5994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12380 Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Parma",
            "state": "OH",
            "postal_code": "441301043",
            "country_code": "US",
            "telephone_number": "216-898-8488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2074 Moorland Dr",
            "address_purpose": "LOCATION",
            "city": "Twinsburg",
            "state": "OH",
            "postal_code": "440873089",
            "country_code": "US",
            "telephone_number": "216-403-5994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAPPALARDO",
        "first_name": "VANESSA",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "MSN, CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-03",
        "last_updated": "2019-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "NP-08485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twinsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; 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.