Active NPI
Trisha Khalilieh, APRN, A-GNP-C
- Nurse Practitioner
- Beachwood, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 020525
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 8
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3-001195 | AL | MD | Nurse Practitioner |
| 322726 | AZ | MD | Nurse Practitioner |
| C-APN.0103257-C-NP | CO | MD | Nurse Practitioner |
| APRN11023064 | FL | MD | Nurse Practitioner |
| 71016364A | IN | MD | Nurse Practitioner |
| 3013590 | KY | MD | Nurse Practitioner |
| 2025001386 | MO | MD | Nurse Practitioner |
| 907173 | MS | MD | Nurse Practitioner |
| 5018107 | NC | MD | Nurse Practitioner |
| 020525 | OH | MD | Nurse Practitioner |
| 10026329 | OR | MD | Nurse Practitioner |
| 27323 | SC | MD | Nurse Practitioner |
| 33468 | TN | MD | Nurse Practitioner |
| 1141178 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Devoted Medical Group Professional Corporation | Current | Accepting new patients | |
| Devoted Medical Group Inc | Current | Accepting new patients | |
| Devoted Medical PA PC | Current | Accepting new patients | |
| Devoted Medical NC PC | Current | Accepting new patients | |
| Devoted Medical Group of Texas Inc | Current | 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.
-
- Primary Care Clinic/Center
- Houston, TX
- NPI 1982202800
-
- Primary Care Clinic/Center
- Pembroke Pines, FL
- NPI 1245838168
TN
-
- Primary Care Clinic/Center
- Zirconia, NC
- NPI 1295443554
-
- Primary Care Clinic/Center
- Philadelphia, PA
- NPI 1114642683
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.