Individual provider Active NPI

Krista M Lattarulo, C.N.P.

  • Family Nurse Practitioner
  • Mason, OH
National Provider Identifier
1063160612
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0030881 Issued in OH
Practice address
7423 S Mason Montgomery Rd
Mason, OH 45040-7828
Phone
(513) 354-3700
Fax
(513) 754-2019
NPI assigned
Mar 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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.CNP.0030881 OH Primary

Addresses

Primary practice location

7423 S Mason Montgomery Rd
Mason, OH 45040-7828

Mailing address

6480 Harrison Ave Ste 201
Cincinnati, OH 45247-7961
Phone (513) 354-3700

Other practice location 1

8311 Montgomery Rd
Cincinnati, OH 45236-2227
Phone (513) 354-3700

Other identifiers 1

IdentifierTypeStateIssuer
2565399MedicaidOH

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
I20220404001265 OH Practitioner - Nurse Practitioner 2567858343 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians

Practice addresses (Care Compare)

7567 Central Parke Blvd
A
Mason, OH 45040-6852

8311 Montgomery Rd
Cincinnati, OH 45236-2227
Phone (513) 354-3700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0030881OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G, LLC CurrentSince Mar 13, 2022 Accepting new patients
Trihealth G LLC CurrentSince Mar 13, 2022 Accepting new patients
Beacon Orthopaedics & Sports Medicine, LTD CurrentSince May 1, 2023 Accepting new patients
Beacon Orthopaedics & Sports Medicine LTD CurrentSince May 1, 2023 Accepting new patients

Locations

6480 Harrison Ave
Cincinnati, OH 45247
Phone (513) 251-7827

6480 Harrison Ave
Ste 201
Cincinnati, OH 45247
Phone (513) 354-7650

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

8311 Montgomery Rd
Cincinnati, OH 45236
Phone (513) 246-2300

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

7423 S Mason Montgomery Rd
Ste A
Mason, OH 45040

6030 S Mason Montgomery Rd
Mason, OH 45040
Phone (513) 234-0510

7423 S Mason Montgomery Rd
Mason, OH 45040
Phone (513) 229-6000

Interoperability endpoints

  • Direct secure messaging: krista.lattarulo.p1@direct.beaconortho.nextgenshare.com

Organizations & group practices 5

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": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1063160612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 HARRISON AVE STE 201",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477961",
            "telephone_number": "513-354-3700",
            "fax_number": "513-354-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7423 S MASON MONTGOMERY RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450407828",
            "telephone_number": "513-354-3700",
            "fax_number": "513-754-2019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8311 Montgomery Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452362227",
            "country_code": "US",
            "telephone_number": "513-354-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LATTARULO",
        "first_name": "KRISTA",
        "middle_name": "M",
        "credential": "C.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-14",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0030881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2565399",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

Verify at the official NPI Registry.