Individual provider Active NPI

Ronna Holston-Kiluvia, APRN, PMHNP, BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1235837899
Registry record updated Oct 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0033020 Issued in OH
Practice address
3219 Sullivant Ave
Columbus, OH 43204-1837
Phone
(614) 655-8956
Fax
(614) 748-0569
NPI assigned
Feb 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0033020 OH Primary

Addresses

Primary practice location

3219 Sullivant Ave
Columbus, OH 43204-1837

Mailing address

3225 Sullivant Ave
Columbus, OH 43204-1837
Phone (614) 655-8956

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
I20230907004261 OH Practitioner - Nurse Practitioner 2264896398 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Columbus Suboxone Doctors LLCGroup PAC ID 8921341256, 4 clinicians
Behavioral Healthcare Partners of Central Ohio IncGroup PAC ID 3971499385, 28 clinicians

Practice addresses (Care Compare)

3219 Sullivant Ave
Columbus, OH 43204-1837
Phone (614) 655-8956

77 Granville St
Newark, OH 43055-1874
Phone (740) 522-8477

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0033020OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgeline Recovery LLC CurrentSince Jun 1, 2024 Accepting new patients
Ridgeline Recovery LLC CurrentSince Jun 1, 2024 Accepting new patients
Behavioral Healthcare Partners of Central Ohio Inc CurrentSince Sep 3, 2024 Accepting new patients

Locations

491 Georgesville Rd
Columbus, OH 43228
Phone (614) 618-5000

77 Granville St
Newark, OH 43055
Phone (740) 963-3590

65 Messimer Dr
Newark, OH 43055
Phone (740) 788-3400

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698537600000",
    "number": "1235837899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 SULLIVANT AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432041837",
            "telephone_number": "614-655-8956",
            "fax_number": "614-748-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3219 SULLIVANT AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432041837",
            "telephone_number": "614-655-8956",
            "fax_number": "614-748-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLSTON-KILUVIA",
        "first_name": "RONNA",
        "credential": "APRN, PMHNP, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-10-29",
        "certification_date": "2023-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0033020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.