Individual provider Active NPI

Trisha Khalilieh, APRN, A-GNP-C

  • Nurse Practitioner
  • Beachwood, OH
National Provider Identifier
1922547439
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
020525 Issued in OH
Practice address
3700 Park East Dr Ste 450
Beachwood, OH 44122-4318
Phone
(866) 849-0692
NPI assigned
Feb 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 020525 OH Primary
Nurse Practitioner 363L00000X 2025001386 MO
Nurse Practitioner 363L00000X 10026329 OR
Nurse Practitioner 363L00000X 907173 MS
Nurse Practitioner 363L00000X 322726 AZ
Nurse Practitioner 363L00000X 3013590 KY
Nurse Practitioner 363L00000X APRN11023064 FL
Nurse Practitioner 363L00000X 3-001195 AL
Nurse Practitioner 363L00000X SP029613 PA
Nurse Practitioner 363L00000X 1141178 TX
Nurse Practitioner 363L00000X 33468 TN
Nurse Practitioner 363L00000X C-APN.0103257-C-NP CO
Nurse Practitioner 363L00000X 5018107 NC
Nurse Practitioner 363L00000X 27323 SC
Nurse Practitioner 363L00000X 71016364A IN

Addresses

Primary practice location

3700 Park East Dr Ste 450
Beachwood, OH 44122-4318

Mailing address

PO Box 211699
Eagan, MN 55121-3699
Phone (866) 849-0692

Other practice location 1

4440 Red Bank Rd Ste 210
Cincinnati, OH 45227-2177
Phone (513) 272-0313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL, SC, NC, TX, TN, AL, PA8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20170227002518 OH Practitioner - Nurse Practitioner 1052695665 Reassigns benefits to 1 organization
I20230403002850 FL Practitioner - Nurse Practitioner 1052695665 Reassigns benefits to 1 organization
I20240418000862 SC Practitioner - Nurse Practitioner 1052695665 Reassigns benefits to 1 organization
I20240419000093 NC Practitioner - Nurse Practitioner 1052695665 Reassigns benefits to 1 organization
I20240422003063 TX Practitioner - Nurse Practitioner 1052695665 Reassigns benefits to 1 organization
I20240426001466 TN Practitioner - Nurse Practitioner 1052695665 Reassigns benefits to 1 organization
I20240426001703 AL Practitioner - Nurse Practitioner 1052695665 Reassigns benefits to 1 organization
I20240522003226 PA Practitioner - Nurse Practitioner 1052695665 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3-001195ALMDNurse Practitioner
322726AZMDNurse Practitioner
C-APN.0103257-C-NPCOMDNurse Practitioner
APRN11023064FLMDNurse Practitioner
71016364AINMDNurse Practitioner
3013590KYMDNurse Practitioner
2025001386MOMDNurse Practitioner
907173MSMDNurse Practitioner
5018107NCMDNurse Practitioner
020525OHMDNurse Practitioner
10026329ORMDNurse Practitioner
27323SCMDNurse Practitioner
33468TNMDNurse Practitioner
1141178TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Devoted Medical Group Professional Corporation CurrentSince Mar 9, 2023 Accepting new patients
Devoted Medical Group Inc CurrentSince Mar 9, 2023 Accepting new patients
Devoted Medical PA PC CurrentSince May 17, 2024 Accepting new patients
Devoted Medical NC PC CurrentSince Apr 3, 2024 Accepting new patients
Devoted Medical Group of Texas Inc CurrentSince Apr 3, 2024 Accepting new patients

Locations

880 SW 145th Ave
Ste 202
Pembroke Pines, FL 33027
Phone (615) 275-6612

221 Crescent St
Ste 202
Waltham, MA 02453
Phone (617) 958-1611

3700 Park East Dr
Ste 450
Beachwood, OH 44122
Phone (216) 255-5751

100 S Juniper St
Fl 3
Philadelphia, PA 19107
Phone (267) 999-9534

220 N Main St
Ste 500
Greenville, SC 29601
Phone (347) 294-3414

3200 West End Ave
Nashville, TN 37203
Phone (615) 510-1646

1201 Fannin St
Ste 262
Houston, TX 77002
Phone (714) 873-6202

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1922547439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211699",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551213699",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 PARK EAST DR STE 450",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224318",
            "telephone_number": "866-849-0692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4440 Red Bank Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452272177",
            "country_code": "US",
            "telephone_number": "513-272-0313",
            "fax_number": "513-272-0316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHALILIEH",
        "first_name": "TRISHA",
        "credential": "APRN, A-GNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-16",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "020525",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2025001386",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "10026329",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "907173",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "322726",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3013590",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11023064",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "3-001195",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP029613",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1141178",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "33468",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "C-APN.0103257-C-NP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5018107",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "27323",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71016364A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.