Individual provider Active NPI

Nakisha Adams, CNP

  • Adult Health Nurse Practitioner
  • Euclid, OH
National Provider Identifier
1881129187
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN.CNP.020494 Issued in OH
Practice address
27900 Euclid Ave
Euclid, OH 44132-3539
Phone
(216) 731-7110
Fax
(216) 731-7130
NPI assigned
Apr 24, 2017
Last updated
Sep 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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 APRN.CNP.020494 OH Primary

Addresses

Primary practice location

27900 Euclid Ave
Euclid, OH 44132-3539

Mailing address

27900 Euclid Ave
Euclid, OH 44132-3539
Phone (216) 731-7110

Other practice location 1

3837 Washington Blvd
University Heights, OH 44118-3158
Phone (216) 469-8604

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
I20170601000108 OH Practitioner - Nurse Practitioner 4486921186 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.020494OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Clinic Health System - East Region CurrentSince May 1, 2017 Accepting new patients
Hni Medical Services of Ohio, LLC CurrentSince Jan 1, 2022 Accepting new patients
Community Hospitalist, LLC CurrentSince Aug 15, 2021 Accepting new patients
Cleveland Clinic Health System - East Region CurrentSince May 1, 2017 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Aug 15, 2021 Accepting new patients
Andrew Brobbey MD Inc CurrentSince Oct 15, 2017 Accepting new patients
Premier Urgent Care, LLC PastSince Oct 17, 2021 Accepting new patients

Locations

11100 Euclid Ave
Cleveland Heights, OH 44106

18901 Lake Shore Blvd
Euclid, OH 44119
Phone (216) 531-9000

27900 Euclid Ave
Euclid, OH 44132
Phone (216) 331-3318

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

27100 Chardon Rd
Richmond Hts, OH 44143
Phone (440) 585-6000

Organizations & group practices 7

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": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1881129187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27900 EUCLID AVE",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441323539",
            "telephone_number": "216-731-7110",
            "fax_number": "216-731-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27900 EUCLID AVE",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441323539",
            "telephone_number": "216-731-7110",
            "fax_number": "216-731-7130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3837 Washington Blvd",
            "address_purpose": "LOCATION",
            "city": "University Heights",
            "state": "OH",
            "postal_code": "441183158",
            "country_code": "US",
            "telephone_number": "216-469-8604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "NAKISHA",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-24",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "APRN.CNP.020494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Euclid, OH

Sources for this page

Verify at the official NPI Registry.