Individual provider Active NPI

Linda Owusu Awuah, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Gahanna, OH
National Provider Identifier
1144716275
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
023489 Issued in OH
Practice address
60 N Stygler Rd
Gahanna, OH 43230
Phone
(614) 475-2014
NPI assigned
Jul 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 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 023489 OH Primary

Addresses

Primary practice location

60 N Stygler Rd
Gahanna, OH 43230

Mailing address

60 N Stygler Rd
Gahanna, OH 43230-2435
Phone (614) 475-2014

Other practice location 1

1684 Brice Road
Reynoldsburg, OH 43068
Phone (614) 966-9011

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
I20181130000864 OH Practitioner - Nurse Practitioner 1951645076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1684 Brice Rd
Reynoldsburg, OH 43068-2704
Phone (614) 966-9011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
023489OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Walk-in Clinic LLC CurrentSince Aug 18, 2021 Accepting new patients
Sceptre Health Care Services LLC CurrentSince Dec 8, 2024 Accepting new patients

Locations

1684 Brice Rd
Reynoldsburg, OH 43068
Phone (614) 966-9011

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23900/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1530403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1144716275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 N STYGLER RD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432302435",
            "telephone_number": "614-475-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 N STYGLER RD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "43230",
            "telephone_number": "614-475-2014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1684 BRICE ROAD",
            "address_purpose": "LOCATION",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "43068",
            "country_code": "US",
            "telephone_number": "614-966-9011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AWUAH",
        "first_name": "LINDA",
        "middle_name": "OWUSU",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-01",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "023489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

Verify at the official NPI Registry.