Organization Active NPI

Bee Well Pediatrics, LLC

  • Pediatric Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1164936019
Registry record updated Nov 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
07905 Issued in OH
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

Updated by the provider on Nov 29, 2017

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X
Pediatric Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2141515Bee Well Pediatrics2730 Observatory Ave, 1St Floor, Cincinnati, OH 45208Certificate of waiverDec 13, 2027

National Provider Directory

National Provider Directory

Locations

2730 Observatory Ave
Cincinnati, OH 45208
Phone (513) 321-2211

Interoperability endpoints

  • FHIR API: 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.

Verify at the official NPI Registry.