Individual provider Active NPI

Lauren N Uttam, CNP

  • Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1154088151
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0030234 Issued in OH
Practice address
810 Jasonway Ave Ste a
Columbus, OH 43214-4359
Phone
(614) 442-3130
Fax
(614) 442-3145
NPI assigned
Nov 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.0030234 OH Primary

Addresses

Primary practice location

810 Jasonway Ave Ste a
Columbus, OH 43214-4359

Mailing address

810 Jasonway Ave Ste a
Columbus, OH 43214-4359
Phone (614) 442-3130

Other practice location 1

6700 Perimeter Dr
Dublin, OH 43016-3505
Phone (614) 442-3130

Other practice location 2

300 Polaris Pkwy Ste 330
Westerville, OH 43082-7989
Phone (614) 442-3130

Other identifiers 1

IdentifierTypeStateIssuer
0476423MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lauren.uttam@coha.ikm.direct-ci.com Direct Columbus Oncology Associates Inc

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
I20220418000724 OH Practitioner - Nurse Practitioner 9638566821 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
Columbus Oncology Associates IncGroup PAC ID 8224088877, 25 clinicians

Practice addresses (Care Compare)

810 Jasonway Ave
Suite a
Columbus, OH 43214-4359
Phone (614) 442-3130

Hospital & facility affiliations

  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006
  • Dublin Methodist Hospital Hospital, Dublin, OH, CCN 360348
  • Grady Memorial Hospital Hospital, Delaware, OH, CCN 360210
  • Grant Medical Center Hospital, Columbus, OH, CCN 360017

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Oncology Associates Inc CurrentSince Sep 11, 2023 Accepting new patients
Columbus Oncology Associates Inc CurrentSince Sep 11, 2023 Accepting new patients
CG Medical Associates Inc CurrentSince Jan 1, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100

4900 Delhi Rd
Cincinnati, OH 45238
Phone (513) 834-9320

810 Jasonway Ave
Ste A
Columbus, OH 43214
Phone (614) 442-3130

810 Jasonway Ave
Columbus, OH 43214
Phone (614) 442-3130

6700 Perimeter Dr
Dublin, OH 43016
Phone (614) 442-3130

300 Polaris Pkwy
Ste 330
Westerville, OH 43082
Phone (614) 442-3130

123 Westerville Plz
Westerville, OH 43081
Phone (513) 975-1002

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: lauren.uttam@coha.ikm.direct-ci.com

Organizations & group practices 4

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 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": "1637712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1154088151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 JASONWAY AVE STE A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432144359",
            "telephone_number": "614-442-3130",
            "fax_number": "614-442-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 JASONWAY AVE STE A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432144359",
            "telephone_number": "614-442-3130",
            "fax_number": "614-442-3145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6700 Perimeter Dr",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430163505",
            "country_code": "US",
            "telephone_number": "614-442-3130",
            "fax_number": "614-442-3145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Polaris Pkwy Ste 330",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430827989",
            "country_code": "US",
            "telephone_number": "614-442-3130",
            "fax_number": "614-442-3145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UTTAM",
        "first_name": "LAUREN",
        "middle_name": "N",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-24",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0030234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0476423",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lauren.uttam@coha.ikm.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Columbus Oncology Associates Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "810 Jasonway Ave Ste A",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432144359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.