Active NPI
Nathan K Stroble, CNP
- Psychiatric/Mental Health Nurse Practitioner
- Toledo, OH
National Provider Identifier
1306354576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN.CNP.0029954
- Practice address
- 544 E Woodruff Ave
Toledo, OH 43604-5342 - Phone
- (419) 936-7600
- Fax
- (419) 936-7606
- NPI assigned
- Jan 22, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN.CNP.0029954 | OH | Primary |
| Registered Nurse | 163W00000X | RN.435589 | OH |
Addresses
Primary practice location
544 E Woodruff Ave
Toledo, OH 43604-5342
Mailing address
1425 Starr Ave
Toledo, OH 43605-2456
Phone (419) 936-7600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0259056 | Medicaid | OH |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.435589 | OH | MD | Registered Nurse |
| APRN.CNP.0029954 | OH | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brave Health Medical Group PA | Current | Accepting new patients | |
| Unison Behavioral Health Group, Inc. | Current | Accepting new patients |
Locations
1084 S Main St
Ste A
Bowling Green, OH 43402
Phone (419) 352-4624
1425 Starr Ave
Toledo, OH 43605
Phone (419) 259-4506
544 E Woodruff Ave
Toledo, OH 43604
Phone (419) 214-4673
Interoperability endpoints
- nathan.stroble.2@23300.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Toledo, OH
- NPI 1952370561
-
- Professional Counselor
- Columbus, OH
- NPI 1780449140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635292800000",
"number": "1306354576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 STARR AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436052456",
"telephone_number": "419-936-7600",
"fax_number": "419-936-7606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "544 E WOODRUFF AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436045342",
"telephone_number": "419-936-7600",
"fax_number": "419-936-7606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STROBLE",
"first_name": "NATHAN",
"middle_name": "K",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-22",
"last_updated": "2021-10-27",
"certification_date": "2021-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OH",
"license": "APRN.CNP.0029954",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.435589",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0259056",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.