Kelli Cuda, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

COA.16132 Issued in OH

Practice address

5969 E Broad St Ste 200
Columbus, OH 43213-1546

Phone

(614) 864-6010

NPI assigned

Aug 27, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Kelli Renee Cuda Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Radiology Inc

  • Diagnostic Radiology Physician
  • Dublin, OH
  • NPI 1609865708
  NPD (past)

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1295135184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 CHURCH CT",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430657567",
            "telephone_number": "614-202-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5969 E BROAD ST STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131546",
            "telephone_number": "614-864-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUDA",
        "first_name": "KELLI",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.16132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "CUDA",
            "middle_name": "RENEE",
            "prefix": "MRS.",
            "credential": "CNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Samuel Cubillos, MD
• Kelsey Cuccio
• Daniel John Cuciak, PCC-S, LICDC
• Cheryl Cuckler, MED, BSN, RN, LSN
• Peter Malcolm Cuckow, MD
• Yoka Cudjoe
• Michael T Cudnik, M.D.
• Abigail Cuevas
• Michelle Cugino, DO
• Anna Cullen

• Family Nurse Practitioner in Columbus, OH
• Providers in Columbus, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.