Individual provider Active NPI

Nawal Rahim

  • Psychiatric/Mental Health Nurse Practitioner
  • Reynoldsburg, OH
National Provider Identifier
1033980503
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0037728 Issued in OH
Practice address
1612 Lancaster Ave
Reynoldsburg, OH 43068-2639
Phone
(614) 377-1096
NPI assigned
Jan 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WG0000X RN.515486 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0037728 OH Primary

Addresses

Primary practice location

1612 Lancaster Ave
Reynoldsburg, OH 43068-2639

Mailing address

1612 Lancaster Ave
Reynoldsburg, OH 43068-2639

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
I20250108001388 OH Practitioner - Nurse Practitioner 4082142831 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Ohio State University College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Autumn Treatment Center LLCGroup PAC ID 6002204344, 15 clinicians
Michael G Saribalas DO PAGroup PAC ID 6709974959, 3 clinicians

Practice addresses (Care Compare)

1176 E Home Rd
Springfield, OH 45503-2726
Phone (614) 943-3839

321 E Court St
Washington Court House, OH 43160-1401
Phone (740) 506-4113

77 N State St
Westerville, OH 43081-2115
Phone (614) 532-5232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN.515486OHMDGeneral Practice Registered Nurse
APRN.CNP.0037728OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Autumn Treatment Center LLC Single Specialty CurrentSince Dec 11, 2024 Accepting new patients
Michael G Saribalas DO PA Single Specialty CurrentSince Dec 11, 2024 Accepting new patients
Autumn Treatment Center LLC Single Specialty CurrentSince Dec 11, 2024 Accepting new patients
Talbot Clinical Services of Ohio LLC Single Specialty Past Accepting new patients

Locations

239 E Warren St
Cadiz, OH 43907
Phone (740) 461-0860

4337 Cleveland Ave
Columbus, OH 43224
Phone (614) 342-2747

4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197

485 Metro Pl S
Ste 101
Dublin, OH 43017

1073 Harding Memorial Pkwy
Marion, OH 43302
Phone (740) 387-0563

1612 Lancaster Ave
Reynoldsburg, OH 43068
Phone (614) 327-0535

1606 Lancaster Ave
Reynoldsburg, OH 43068
Phone 6143249177 ext. 310

1176 E Home Rd
Springfield, OH 45503
Phone (614) 943-3839

107 Plaza Dr
Ste S
St Clairsvle, OH 43950
Phone (740) 695-2549

77 N State St
Westerville, OH 43081
Phone (614) 475-6700

586 W Main St
Wilmington, OH 45177
Phone (937) 382-8500

321 E Court St
Wshngtn Ct Hs, OH 43160
Phone (740) 335-1233

Organizations & group practices 4

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": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1033980503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 LANCASTER AVE",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 LANCASTER AVE",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682639",
            "telephone_number": "614-377-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHIM",
        "first_name": "NAWAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": "OH",
            "license": "RN.515486",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0037728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

Verify at the official NPI Registry.