Individual provider Active NPI

Elizabeth G Spillan, CNP

  • Adult Health Nurse Practitioner
  • Cuyahoga Falls, OH
National Provider Identifier
1982986451
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
12590 Issued in OH
Practice address
275 Graham Rd Ste 11
Cuyahoga Falls, OH 44223-2259
Phone
(330) 923-0094
Fax
(330) 920-7533
NPI assigned
Sep 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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 12590 OH Primary

Addresses

Primary practice location

275 Graham Rd Ste 11
Cuyahoga Falls, OH 44223-2259

Mailing address

275 Graham Rd Ste 11
Cuyahoga Falls, OH 44223-2259
Phone (330) 923-0094

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
I20111128000358 OH Practitioner - Nurse Practitioner 6608040860 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12590OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Traditions Hospice of Highland Heights, LLC CurrentSince Aug 1, 2022 Accepting new patients
Traditions Hospice of Highland Heights, LLC CurrentSince Aug 1, 2022 Accepting new patients

Locations

677 Alpha Dr
Ste H
Highland Hgts, OH 44143
Phone (440) 385-2736

6840 Carothers Pkwy
Ste 550
Franklin, TN 37067

Organizations & group practices 2

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": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1982986451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 GRAHAM RD STE 11",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442232259",
            "telephone_number": "330-923-0094",
            "fax_number": "330-920-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 GRAHAM RD STE 11",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442232259",
            "telephone_number": "330-923-0094",
            "fax_number": "330-920-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPILLAN",
        "first_name": "ELIZABETH",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-12",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "12590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

Verify at the official NPI Registry.