Individual provider Active NPI

Rachel Isabella De Lima, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1215596788
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0032243 Issued in OH
Practice address
3121 W Broad St
Columbus, OH 43204-1306
Phone
(614) 869-2002
NPI assigned
Jun 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.452563 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0032243 OH Primary

Addresses

Primary practice location

3121 W Broad St
Columbus, OH 43204-1306

Mailing address

8901 Patterson Loop
Reynoldsburg, OH 43068-8013
Phone (614) 306-0825

Other names 1

  • Rachel Isabella Witt Former name

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
I20240221001615 OH Practitioner - Nurse Practitioner 5092159756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Buckeye ClinicGroup PAC ID 7810237666, 11 clinicians

Practice addresses (Care Compare)

3121 W Broad St
Columbus, OH 43204-1306
Phone (614) 534-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
RN.452563OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Buckeye Clinic Current Accepting new patients
Buckeye Clinic CurrentSince Jan 6, 2024 Accepting new patients
Buckeye Clinic CurrentSince Jan 6, 2024 Accepting new patients

Locations

40 S James Rd
Columbus, OH 43213
Phone (614) 416-0294

3121 W Broad St
Columbus, OH 43204
Phone (614) 274-6100

6805 Avery Muirfield Dr
Ste 103
Dublin, OH 43016
Phone (614) 534-1100

231 Lafayette St
London, OH 43140
Phone (614) 202-6297

231 Lafayette St
Ste E
London, OH 43140
Phone (614) 792-6242

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1215596788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 PATTERSON LOOP",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430688013",
            "telephone_number": "614-306-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432041306",
            "telephone_number": "614-869-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LIMA",
        "first_name": "RACHEL",
        "middle_name": "ISABELLA",
        "credential": "MSN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.452563",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0032243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "WITT",
            "middle_name": "ISABELLA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.