SENIOR NURSE PRACTITIONER SERVICES, LLC
NPI 1386873909
Nurse Practitioner - Gerontology in Broadview Heights, OH

Q: What is Senior Nurse Practitioner Services, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Active since July 02, 2009

703 CORNELL DR, BROADVIEW HEIGHTS, OH 44147(216) 387-9896 Get Directions Write a Review

NPPES record last updated: October 30, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 30, 2020, Aug 8, 2017 (2 updates tracked since 2017).

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About Senior Nurse Practitioner Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SENIOR NURSE PRACTITIONER SERVICES, LLC (NPI 1386873909) is a healthcare organization registered as a gerontology in Broadview Heights, Ohio and active in the NPI registry since July 2009. The organization lists Beth Ezzie, Owner, as its authorized official.

NPPES Registry Identity

NPI1386873909

Entity TypeOrganization

Primary Taxonomy363LG0600X

Legal Business NameSENIOR NURSE PRACTITIONER SERVICES, LLC

Location Address703 CORNELL DRBroadview Heights, OH 44147-4412

Mailing AddressPo Box 470531Broadview Heights, OH 44147-4412 · (216) 387-9896

Phone(216) 387-9896

Organization SubpartNo

Authorized OfficialBeth EzzieOwner · (216) 387-9896

Enumeration DateJuly 2, 2009

Last NPPES UpdateOctober 30, 20202 updates tracked since enumeration

NPPES CertifiedOctober 30, 2020

✔ NPI 1386873909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in OH · COA07369-NP

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License COA07369-NP (OH)

703 CORNELL DR, Broadview Heights, OH 44147

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Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Senior Nurse Practitioner Services, LLC's NPI number?

The NPI number for Senior Nurse Practitioner Services, LLC is 1386873909. It was assigned to this organization in the NPPES registry on July 2, 2009.

Where is Senior Nurse Practitioner Services, LLC located?

Senior Nurse Practitioner Services, LLC is located at 703 Cornell Dr, Broadview Heights, OH 44147. The listed phone number is (216) 387-9896.

What is Senior Nurse Practitioner Services, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

What insurance does Senior Nurse Practitioner Services, LLC accept?

Health plans from CareSource list Senior Nurse Practitioner Services, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Senior Nurse Practitioner Services, LLC was last updated on October 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.