Individual provider Active NPI

Obed C. Anya, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1245529957
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.025314 Issued in OH
Practice address
3100 Vine St
Cincinnati, OH 45219-2068
Phone
(513) 861-3100
NPI assigned
Apr 4, 2011
Last updated
Jul 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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. 341675 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.025314 OH Primary

Addresses

Primary practice location

3100 Vine St
Cincinnati, OH 45219-2068

Mailing address

PO Box 832
West Chester, OH 45071-0832
Phone (513) 766-2379

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
I20200724002071 OH Practitioner - Nurse Practitioner 1153745062 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Wellness Card LLCGroup PAC ID 6800078791, 9 clinicians

Practice addresses (Care Compare)

1320 Woodman Dr
Dayton, OH 45432-3497
Phone (937) 272-5926

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN. 341675OHMDRegistered Nurse
APRN.CNP.025314OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Communikare Behavioral Health Services LLC CurrentSince Jul 7, 2020 Accepting new patients
Communikare Behavioral Health Services LLC Psychiatric/Mental Health Current Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Dec 15, 2022 Accepting new patients
Woodman Primary Care LLC CurrentSince Jul 7, 2020 Accepting new patients
Wellness Card LLC CurrentSince Jul 7, 2020 Accepting new patients
Communikare Behavioral Health Services LLC CurrentSince Jul 7, 2020 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197

1320 Woodman Dr
Dayton, OH 45432
Phone (937) 223-1781

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1245529957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 832",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450710832",
            "telephone_number": "513-766-2379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 VINE ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192068",
            "telephone_number": "513-861-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANYA",
        "first_name": "OBED",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-04",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN. 341675",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.025314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.