Individual provider Active NPI

Emily Reljin, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fairlawn, OH
National Provider Identifier
1851885651
Registry record updated Jun 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.022908 Issued in OH
Practice address
70 N Miller Rd
Fairlawn, OH 44333-3766
Phone
(330) 867-0066
NPI assigned
Jun 15, 2018
Last updated
Jun 15, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.022908 OH Primary

Addresses

Primary practice location

70 N Miller Rd
Fairlawn, OH 44333-3766

Mailing address

70 N Miller Rd
Fairlawn, OH 44333-3766
Phone (308) 670-0663

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
I20180710001030 OH Practitioner - Nurse Practitioner 2466708268 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alternative Paths IncGroup PAC ID 4385632983, 15 clinicians

Practice addresses (Care Compare)

246 Northland Dr
Suite 200a
Medina, OH 44256-3440
Phone (330) 725-9195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alternative Paths Inc. CurrentSince Jul 2, 2021 Accepting new patients
Alternative Paths, Inc. CurrentSince Jul 2, 2021 Accepting new patients
Coleman Professional Services, Inc. CurrentSince Oct 22, 2019 Accepting new patients

Locations

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

5982 Rhodes Rd
Kent, OH 44240
Phone (330) 676-6875

246 Northland Dr
Ste 200A
Medina, OH 44256
Phone (330) 725-9195

Organizations & group practices 3

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": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1851885651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 N MILLER RD",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333766",
            "telephone_number": "308-670-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 N MILLER RD",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333766",
            "telephone_number": "330-867-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RELJIN",
        "first_name": "EMILY",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-15",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.022908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

Verify at the official NPI Registry.