Individual provider Active NPI

Gretchen Lefferson, CNP

  • Family Nurse Practitioner
  • Georgetown, OH
National Provider Identifier
1285040741
Registry record updated Jul 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
15938 Issued in OH
Practice address
425 Home St
Georgetown, OH 45121-1407
Phone
(937) 378-7701
NPI assigned
Jul 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2014

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 15938 OH Primary

Addresses

Primary practice location

425 Home St
Georgetown, OH 45121-1407

Mailing address

425 Home St
Georgetown, OH 45121-1407
Phone (937) 378-7701

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
I20140904002732 OH Practitioner - Nurse Practitioner 5799903795 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15938OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G, LLC CurrentSince Jan 1, 2016 Accepting new patients
Trihealth G LLC CurrentSince Jan 1, 2016 Accepting new patients

Locations

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

425 Farrell Ct
Cincinnati, OH 45233
Phone (513) 451-6871

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

5861 Cinema Dr
Milford, OH 45150
Phone (513) 248-8800

Organizations & group practices 2

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": "1404604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404604800000",
    "number": "1285040741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 HOME ST",
            "city": "GEORGETOWN",
            "state": "OH",
            "postal_code": "451211407",
            "telephone_number": "937-378-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HOME ST",
            "city": "GEORGETOWN",
            "state": "OH",
            "postal_code": "451211407",
            "telephone_number": "937-378-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFFERSON",
        "first_name": "GRETCHEN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-06",
        "last_updated": "2014-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "15938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, OH

Sources for this page

Verify at the official NPI Registry.