Individual provider Active NPI

Lacey Leann Takhtay, APRN-CNP

  • Nurse Practitioner
  • Gahanna, OH
National Provider Identifier
1083258966
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0032631 Issued in OH
Practice address
701 Tech Center Dr
Gahanna, OH 43230-3940
Phone
(614) 396-2684
Fax
(614) 396-2480
NPI assigned
Nov 4, 2019
Last updated
May 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.0032631 OH Primary
Family Nurse Practitioner 363LF0000X APRN.CNP.0032631 OH
Family Nurse Practitioner 363LF0000X 232202 AZ

Addresses

Primary practice location

701 Tech Center Dr
Gahanna, OH 43230-3940

Mailing address

701 Tech Center Dr Ste 250
Gahanna, OH 43230-3941
Phone (614) 396-2684

Other practice location 1

701 Tech Center Dr Ste 120
Gahanna, OH 43230-3942
Phone (614) 396-2684

Other names 1

  • Lacey Leann Litteral Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200107001477 AZ Practitioner - Nurse Practitioner 6507290137
I20230814001840 OH Practitioner - Nurse Practitioner 6507290137 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Ohio Urology Group, LLC.Group PAC ID 5395758882, 48 clinicians

Practice addresses (Care Compare)

701 Tech Ctr Dr
Gahanna, OH 43230-1987
Phone (614) 396-2684

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0032631OHMDNurse Practitioner
232202AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Urology Group, LLC CurrentSince Aug 18, 2025 Accepting new patients
Ohiohealth Corporation CurrentSince Aug 1, 2023 Accepting new patients
Central Ohio Urology Group, LLC CurrentSince Aug 18, 2025 Accepting new patients
Ohiohealth Corporation CurrentSince Aug 1, 2023 Accepting new patients
Ohiohealth Corporation Current Accepting new patients

Locations

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

500 E Main St
Ste 200
Columbus, OH 43215
Phone (614) 222-3369

500 E Main St
Ste 220
Columbus, OH 43215
Phone (614) 222-3369

Dept L3652
Columbus, OH 43260

8200 Hazelton Etna Rd SW
Etna, OH 43062
Phone (614) 221-5189

701 Tech Center Dr
Gahanna, OH 43230
Phone (614) 483-8567

701 Tech Center Dr
Ste 100
Gahanna, OH 43230
Phone (440) 724-4498

701 Tech Center Dr
Ste 120
Gahanna, OH 43230

701 Tech Center Dr
Ste 250
Gahanna, OH 43230

5775 N Meadows Dr
Ste C
Grove City, OH 43123
Phone (614) 221-9262

350 W Wilson Bridge Rd
Ste 100
Worthington, OH 43085
Phone (614) 268-2323

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1083258966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 TECH CENTER DR STE 250",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432303941",
            "telephone_number": "614-396-2684",
            "fax_number": "614-396-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 TECH CENTER DR",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432303940",
            "telephone_number": "614-396-2684",
            "fax_number": "614-396-2480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Tech Center Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Gahanna",
            "state": "OH",
            "postal_code": "432303942",
            "country_code": "US",
            "telephone_number": "614-396-2684",
            "fax_number": "614-396-2480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAKHTAY",
        "first_name": "LACEY",
        "middle_name": "LEANN",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0032631",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0032631",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "232202",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LACEY",
            "last_name": "LITTERAL",
            "middle_name": "LEANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gahanna, OH

Sources for this page

Verify at the official NPI Registry.