Individual provider Active NPI

Nicoletta Kristine Roeble, FNP-BC

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1215345715
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
16302 Issued in OH
Practice address
1144 Dublin Rd
Columbus, OH 43215-1039
Phone
(614) 234-0200
NPI assigned
Jul 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 16302 OH Primary

Addresses

Primary practice location

1144 Dublin Rd
Columbus, OH 43215-1039

Mailing address

1144 Dublin Rd
Columbus, OH 43215-1039
Phone (614) 234-0200

Other practice location 1

590 Newark Granville Rd
Suite A
Granville, OH 43023-1436
Phone (888) 531-7444

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nroeble1148126@direct.trinity-health.org Direct

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

LicenseStateTypeSpecialty
16302OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of Central Ohio 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1215345715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 DUBLIN RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151039",
            "telephone_number": "614-234-0200",
            "fax_number": "614-234-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 DUBLIN RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151039",
            "telephone_number": "614-234-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "590 Newark Granville Rd",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Granville",
            "state": "OH",
            "postal_code": "430231436",
            "country_code": "US",
            "telephone_number": "888-531-7444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROEBLE",
        "first_name": "NICOLETTA",
        "middle_name": "KRISTINE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-28",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "16302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nroeble1148126@direct.trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "Mount Carmel Columbus direct endpoint",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1144 Dublin Rd",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432151039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.