Ni Ketut Kumala Dewi Hariadi
Nurse Practitioner | 7+ years Exp
5001 Rockside Rd, Independence
Ohio, 44131-2172
216-986-4000
Accepts Medicare Nurse Anesthetist in Independence, Ohio.Ni Ketut Kumala Dewi Hariadi is a Independence, Ohio based nurse practitioner with 7 years of experience in . She completed her graduation in 2018. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Ni Ketut Kumala Dewi Hariadi is AG07180050 in Ohio. Her current practice location is 5001 Rockside Rd, Independence. Patients can reach her at 216-986-4000 and her NPI number (Unique professional ID assigned by NPPES) is 1114404159.
Ni Ketut Kumala Dewi Hariadi has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Ni Ketut Kumala Dewi Hariadi speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Ni Ketut Kumala Dewi Hariadi |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Experience: | 7+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2018 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 5001 Rockside Rd, Independence, Ohio, 44131-2172 |
| Phone: | 216-986-4000 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 2860736071 |
| Enrollment ID: | I20181128003475 |
| NPI Number: | 1114404159 |
| NPI Enumeration Date: | 23 Jul, 2018 |
| NPI Last Update On: | 23 Jul, 2018 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ni Ketut Kumala Dewi Hariadi are as mentioned below.
| License Number | Specialization | State | Status | |
| AG07180050 | | Ohio | Primary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (360180) | Cleveland, OH | Acute Care Hospital |
| (360027) | Akron, OH | Acute Care Hospital |
| (360143) | Garfield heights, OH | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Ni Ketut Kumala Dewi Hariadi is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Cleveland Clinic Foundation (1850203555) | 5185 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ni Ketut Kumala Dewi Hariadi 9000 Moss Pointe Cir, Olmsted Twp, Ohio |
| Zip: | 44138-8168 |
| Phone Number: | 216-258-3660 |
Patients can reach Ni Ketut Kumala Dewi Hariadi at
5001 Rockside Rd, Independence, Ohio or can
call to book an appointment on 216-986-4000.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.