Organization Active NPI

NP Home Visits LLC

  • Family Nurse Practitioner
  • Waynesville, OH
National Provider Identifier
1245426451
Registry record updated Oct 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN192105 Issued in OH
Legal business name
NP HOME VISITS LLC
Practice address
3063 Harveysburg Rd
Waynesville, OH 45068-9420
Phone
(937) 725-5006
Fax
(937) 289-3003
NPI assigned
Sep 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2018

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

Authorized official

Name
Rebecca Bryant, CNPNPI 1457495186
Title
Nurse Practitioner
Phone
(937) 725-5006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X RN192105 OH Primary

Addresses

Primary practice location

3063 Harveysburg Rd
Waynesville, OH 45068-9420

Mailing address

3063 Harveysburg Rd
Waynesville, OH 45068-9420
Phone (937) 725-5006

Other identifiers 1

IdentifierTypeStateIssuer
2222491MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071120000000 OH Part B Supplier - Clinic/Group Practice 7618065939 Receives reassigned benefits from 2 practitioners
Practice locations: Waynesville, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539907200000",
    "number": "1245426451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3063 HARVEYSBURG RD",
            "city": "WAYNESVILLE",
            "state": "OH",
            "postal_code": "450689420",
            "telephone_number": "937-725-5006",
            "fax_number": "937-289-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3063 HARVEYSBURG RD",
            "city": "WAYNESVILLE",
            "state": "OH",
            "postal_code": "450689420",
            "telephone_number": "937-725-5006",
            "fax_number": "937-289-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NP HOME VISITS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2018-10-19",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "937-725-5006",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RN192105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2222491",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.