Active NPI
Carolyn Badenhop, CNP
- Nurse Practitioner
- Perrysburg, OH
National Provider Identifier
1194725028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 01446
- Practice address
- 1601 Brigham Dr
Suite 250
Perrysburg, OH 43551-7114 - Phone
- (419) 872-7745
- Fax
- (419) 874-7758
- NPI assigned
- Jul 21, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 01446 | OH | Primary |
Addresses
Primary practice location
1601 Brigham Dr
Suite 250
Perrysburg, OH 43551-7114
Mailing address
1601 Brigham Dr
Suite 250
Perrysburg, OH 43551-7114
Phone (419) 872-7745
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500025100 | Other | OH | RRMC |
| 2239714 | Medicaid | OH | |
| 000000378999 | Other | OH | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01446 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457049600000",
"number": "1194725028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 BRIGHAM DR",
"address_2": "SUITE 250",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435517114",
"telephone_number": "419-872-7745",
"fax_number": "419-874-7758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 BRIGHAM DR",
"address_2": "SUITE 250",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435517114",
"telephone_number": "419-872-7745",
"fax_number": "419-874-7758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BADENHOP",
"first_name": "CAROLYN",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-21",
"last_updated": "2016-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "01446",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC",
"identifier": "500025100",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2239714",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000378999",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Perrysburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.