Active NPI
Sellamawit Gaim
- Gerontology Nurse Practitioner
- Beachwood, OH
National Provider Identifier
1912520156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- APRN.CNP.026279
- Practice address
- 23333 Harvard Rd
Beachwood, OH 44122-6232 - Phone
- (216) 593-2200
- NPI assigned
- May 22, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | APRN.CNP.026279 | OH | Primary |
Addresses
Primary practice location
23333 Harvard Rd
Beachwood, OH 44122-6232
Mailing address
3128 Cannock LN
Columbus, OH 43219-3000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | soarian |
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
- Certified Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590105600000",
"number": "1912520156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3128 CANNOCK LN",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432193000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23333 HARVARD RD",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441226232",
"telephone_number": "216-593-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAIM",
"first_name": "SELLAMAWIT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-22",
"last_updated": "2020-05-22",
"certification_date": "2020-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OH",
"license": "APRN.CNP.026279",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "soarian",
"affiliation": "N",
"address_1": "23333 Harvard Rd",
"city": "Beachwood",
"state": "OH",
"country_code": "US",
"postal_code": "441226232",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.