Andrea Michelle Eubank, APRN, L.AC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN.CNP.0030356 Issued in OH

Practice address

5598 Glenway Ave Ste 2
Cincinnati, OH 45238-3452

Phone

(513) 620-7185

NPI assigned

Jul 21, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Mrs. Andi Michelle Eubank Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Mt. Airy Development, LLC

  • Psychiatric Hospital
  • Cincinnati, OH
  • NPI 1801405519
  NPD

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1134432966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5598 GLENWAY AVE STE 2",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452383452",
            "telephone_number": "513-620-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5598 GLENWAY AVE STE 2",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452383452",
            "telephone_number": "513-620-7185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2446 Kipling Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452396650",
            "country_code": "US",
            "telephone_number": "877-707-2612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EUBANK",
        "first_name": "ANDREA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "APRN, L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.451380",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OH",
            "license": "65.000370",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 2860",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0030356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "atouchofenergywellness@gmail.com",
            "affiliation": "N",
            "address_1": "5598 Glenway Ave Ste 2",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452383452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANDI",
            "last_name": "EUBANK",
            "middle_name": "MICHELLE",
            "prefix": "MRS.",
            "credential": "APRN, L.AC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anne Etges, C.N.P.
• Maureen Ethridge, M.S., CCC-SLP
• Shelby Tyrus Ethridge, RT (R) (CT)
• Jeremy Etisomba, OTR/L
• Amber Marie Etzel, PHARMD
• Judith A Eubank, MSW
• Maria Eubanks
• Rhea Breyonna Eubanks
• Euclid Health Care, Inc.
• Eugene J. Van Leeuwen, M.D. Inc.

• Psychiatric/Mental Health Nurse Practitioner in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.