Individual provider Active NPI

Olympia L Pinto

  • Nurse Practitioner
  • Willoughby Hills, OH
National Provider Identifier
1154446060
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
333931 Issued in NY
Practice address
2785 Som Center Rd
Willoughby Hills, OH 44094-6501
Phone
(440) 602-8601
NPI assigned
Mar 20, 2007
Last updated
May 6, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2014

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 333931 NY Primary
Nurse Practitioner 363L00000X 14116 OH
Nurse Practitioner 363L00000X SP009924 PA

Addresses

Primary practice location

2785 Som Center Rd
Willoughby Hills, OH 44094-6501

Mailing address

2785 Som Center Rd
Willoughby Hills, OH 44094-6501
Phone (440) 602-8601

Other identifiers 1

IdentifierTypeStateIssuer
333931MedicaidNY

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
I20130218000414 OH Practitioner - Nurse Practitioner 1759373020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Access Ohio LLCGroup PAC ID 4385899053, 31 clinicians

Practice addresses (Care Compare)

899 E Broad St
Columbus, OH 43205-1133
Phone (614) 396-9333

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
333931NYMDNurse Practitioner
14116OHMDNurse Practitioner
SP009924PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Ohio, LLC CurrentSince May 28, 2019 Accepting new patients
Access Ohio, LLC CurrentSince May 28, 2019 Accepting new patients
Access Behavioral LLC Past Accepting new patients

Locations

6400 E Broad St
Ste 400
Columbus, OH 43213
Phone (614) 367-7700

8100 Ravines Edge Ct
Ste 200
Columbus, OH 43235
Phone (614) 655-3345

899 E Broad St
Columbus, OH 43205
Phone (614) 252-0771

899 E Broad St
Ste 334
Columbus, OH 43205
Phone (614) 396-9333

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399334400000",
    "number": "1154446060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2785 SOM CENTER RD",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440946501",
            "telephone_number": "440-602-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 SOM CENTER RD",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440946501",
            "telephone_number": "440-602-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINTO",
        "first_name": "OLYMPIA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2014-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "333931",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "14116",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP009924",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "333931",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby Hills, OH

Sources for this page

Verify at the official NPI Registry.