Charlotte Marie Izyk, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

COA13661NP Issued in OH

Practice address

3924 Mountview Rd
Upper Arlington, OH 43220-4806

Phone

(614) 338-9158

Fax

(614) 569-2257

NPI assigned

Aug 12, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416528000000",
    "number": "1023365798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21351",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432210351",
            "telephone_number": "614-338-9158",
            "fax_number": "614-569-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3924 MOUNTVIEW RD",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432204806",
            "telephone_number": "614-338-9158",
            "fax_number": "614-569-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZYK",
        "first_name": "CHARLOTTE",
        "middle_name": "MARIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-12",
        "last_updated": "2014-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA13661NP",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN342859COA1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008339",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacklyn Rae Hucke, PA-C
• Caitlyn E Hull, APRN-CNP
• Meleesa A. Hunt, PH.D.
• Intrinsic Promise Community Mental Health
• Traci Ishler
• J. Eric Gentile Ms LPCC
• Jennifer Jackson, NP
• James Schramm Chiropractic, Inc.
• Ryan D Jayne, PT
• Yichen Jiang, OT

• Family Nurse Practitioner in Upper Arlington, OH
• Providers in Upper Arlington, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.