Individual provider Active NPI

Carly Elizabeth Nicholas, CNP

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1053791293
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP17660 Issued in OH
Practice address
7545 Beechmont Ave Ste N
Cincinnati, OH 45255-4231
Phone
(513) 232-0011
Fax
(513) 232-8434
NPI assigned
Jun 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP17660 OH Primary

Addresses

Primary practice location

7545 Beechmont Ave Ste N
Cincinnati, OH 45255-4231

Mailing address

7545 Beechmont Ave Ste N
Cincinnati, OH 45255-4231
Phone (513) 232-0011

Other practice location 1

8238 Princeton Glendale Rd
West Chester, OH 45069-1675
Phone (513) 454-1307

Other practice location 2

24 Compton Rd Ste 205
Cincinnati, OH 45216-1036
Phone (513) 761-2776

Other identifiers 1

IdentifierTypeStateIssuer
0138769MedicaidOH

Other names 1

  • Ms. Carly Elizabeth Garman Former name

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
I20150804004783 OH Practitioner - Nurse Practitioner 2769796713 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Christ Hospital Medical Associates, LLCGroup PAC ID 0244314102, 270 clinicians

Practice addresses (Care Compare)

7545 Beechmont Ave
Suite N
Cincinnati, OH 45255-4231
Phone (513) 232-0011

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP17660OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Christ Hospital Medical Associates, LLC Family CurrentSince Nov 10, 2019 Accepting new patients
The Christ Hospital Health Network Urgent Care, LLC CurrentSince Mar 3, 2020 Accepting new patients

Locations

237 William Howard Taft Rd
#2
Cincinnati, OH 45219
Phone (513) 263-9157

7545 Beechmont Ave
Ste N
Cincinnati, OH 45255
Phone (513) 232-0011

2123 Auburn Ave
#200
Cincinnati, OH 45219
Phone (513) 321-0833

24 Compton Rd
Ste 205
Cincinnati, OH 45216
Phone (513) 761-2776

6560 Harrison Ave
Cincinnati, OH 45247
Phone (513) 564-1366

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1053791293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7545 BEECHMONT AVE STE N",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452554231",
            "telephone_number": "513-232-0011",
            "fax_number": "513-232-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7545 BEECHMONT AVE STE N",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452554231",
            "telephone_number": "513-232-0011",
            "fax_number": "513-232-8434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8238 Princeton Glendale Rd",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "OH",
            "postal_code": "450691675",
            "country_code": "US",
            "telephone_number": "513-454-1307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Compton Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452161036",
            "country_code": "US",
            "telephone_number": "513-761-2776",
            "fax_number": "513-679-4866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "CARLY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP17660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0138769",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLY",
            "last_name": "GARMAN",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.