LEAH SOPKO (NPI# 1225318330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225318330 |
| Entity Type | Individual |
| Full Name | LEAH SOPKO |
| Credential | CNP |
| Practice Address |
38429 Lake Shore Blvd Willoughby OH 44094-7009 |
| Practice Telephone | 4402697488 |
| Mailing Telephone | 4402697488 |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2012-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | COA.12361-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0057603 | 05 |
| Street Address |
38429 LAKE SHORE BLVD |
| City | WILLOUGHBY |
| State | OH |
| Zip Code | 44094-7009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578548962 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 38429 Lake Shore Blvd, Willoughby, OH 44094-7009 | 2005-12-08 |
| 1841674009 | Tawana Cunningham | Nurse Practitioner | 38429 Lake Shore Blvd, Willoughby, OH 44094-7009 | 2015-07-16 |
| 1194802454 | Winston Ho | Internal Medicine | 38429 Lake Shore Blvd, Willoughby, OH 44094-7009 | 2006-11-01 |
| 1154408490 | James Mandelik | Pediatrics | 38429 Lake Shore Blvd, Willoughby, OH 44094-7009 | 2006-11-01 |
| 1366479693 | Laura Lee Frycklund | Nurse Practitioner | 38429 Lake Shore Blvd, Willoughby, OH 44094-7009 | 2006-06-26 |
| 1891751657 | Erieside Medical Group | Internal Medicine | 38429 Lake Shore Blvd, Willoughby, OH 44094-7009 | 2006-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574367 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 36596 Euclid Ave, Willoughby, OH 44094 | 2020-09-25 |
| 1679111322 | Megan King | Nurse Practitioner | 4078 Erie Street, Unit B, Willoughby, OH 44094 | 2019-12-12 |
| 1124661525 | Mind and Body Infusion Therapies, LLC | Clinic/Center | 9264 Chillicothe Rd., Unit #2, Kirtland, OH 44094 | 2019-10-18 |
| 1679125637 | Christina Maria Chandler | Family Medicine | 39021 Signature Circle, Willoughby, OH 44094 | 2019-07-10 |
| 1467920595 | Rachel Curry | Specialist/Technologist | 53400 Euclid Ave., Apt. E-102, Willoughby, OH 44094 | 2018-11-07 |
| 1437649753 | Katie Lauren Greenaway | Registered Nurse | 5103 Robinhood Dr, Willoughby, OH 44094 | 2018-05-11 |
| 1003346131 | Heather Marie Hayes | Licensed Practical Nurse | 38882 Mentor Ave., Willoughby, OH 44094 | 2017-06-12 |
| 1609305028 | Ann Marie Mason | Counselor | 38882 Mentor Avenue, Willoughby, OH 44094 | 2017-06-08 |
| 1285173005 | Mattie Diann Towns-scott | Social Worker | 34950 Chardon Road, Bldg 2, Suite 210, Willoughby Hills, OH 44094 | 2017-02-13 |
| 1447797329 | Therese Benz | General Acute Care Hospital | 96000 Euclid Ave., Willoughby, OH 44094 | 2017-01-30 |
| Find all providers in zip 44094 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255984886 | Nicolas John Marchinchin | Nurse Practitioner | 36100 Euclid Ave Ste 120, Willoughby, OH 44094-4426 | 2019-07-23 |
| 1013455146 | Ashley King | Nurse Practitioner | 1601 Arbor Dr, Willoughby, OH 44094-5332 | 2017-02-09 |
| 1063894681 | Natalie Kolman | Nurse Practitioner | 2747 Som Center Road, #d, Willoughby, OH 44094 | 2015-06-19 |
| 1336577410 | Kristin Petruziello | Nurse Practitioner | 36001 Euclid Ave Ste C6, Willoughby, OH 44094-4643 | 2013-10-28 |
| 1386676864 | Steven A Vozel | Nurse Practitioner | 36475 Euclid Ave, Willoughby, OH 44094-4448 | 2006-07-07 |
| 1578020905 | Orsolya Eads | Nurse Practitioner | 36000 Euclid Ave, Willoughby, OH 44094-4625 | 2019-02-21 |
| 1033429808 | Ohio Em-i Medical Services, Professional Association | Nurse Practitioner | 36000 Euclid Ave, Willoughby, OH 44094-4625 | 2010-10-14 |
| 1346335718 | Kathleen Ann Walsh | Nurse Practitioner | 5105 Som Center Road, Willoughby, OH 44094 | 2006-10-03 |
| 1396839866 | Nancy J Kelley | Nurse Practitioner | 36000 Euclid Ave, Willoughby, OH 44094-4625 | 2006-10-02 |
| 1386751295 | Joy Jean Ianiro | Nurse Practitioner | 36100 Euclid Ave, 120, Willoughby, OH 44094 | 2006-08-24 |
| Find all providers in WILLOUGHBY | ||||
| City | WILLOUGHBY |
| Zip Code | 44094 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.