Active NPI
Bee Well Pediatrics, LLC
- Pediatric Nurse Practitioner
- Cincinnati, OH
National Provider Identifier
1164936019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 07905
- Legal business name
- BEE WELL PEDIATRICS, LLC
- Practice address
- 2730 Observatory Ave
Cincinnati, OH 45208-2108 - Phone
- (513) 258-0896
- NPI assigned
- Nov 29, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tara M Krivoruchka
- Title
- Administration
- Phone
- (608) 213-4410
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | |||
| Pediatric Nurse Practitioner | 363LP0200X | 07905 | OH | Primary |
Addresses
Primary practice location
2730 Observatory Ave
Cincinnati, OH 45208-2108
Mailing address
2730 Observatory Ave
Cincinnati, OH 45208-2108
Phone (513) 258-0896
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2141515 | Bee Well Pediatrics | Certificate of waiver | Dec 13, 2027 |
National Provider Directory
National Provider DirectoryLocations
2730 Observatory Ave
Cincinnati, OH 45208
Phone (513) 321-2211
Interoperability endpoints
- https://api.platform.athenahealth.com/17103/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511913600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1511913600000",
"number": "1164936019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2730 OBSERVATORY AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452082108",
"telephone_number": "513-258-0896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2730 OBSERVATORY AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452082108",
"telephone_number": "513-258-0896"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEE WELL PEDIATRICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-29",
"last_updated": "2017-11-29",
"status": "A",
"authorized_official_last_name": "KRIVORUCHKA",
"authorized_official_first_name": "TARA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "ADMINISTRATION",
"authorized_official_telephone_number": "608-213-4410"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OH",
"license": "07905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.