NPIMap

Organization Active NPI

Ohio University

  • Diabetes Educator Registered Nurse
  • Athens, OH
National Provider Identifier
1316148596
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
Legal business name
OHIO UNIVERSITY
Practice address
75 Hospital Drive Suite 200
Castrop Center
Athens, OH 45701
Phone
(740) 566-4870
Fax
(740) 566-4871
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

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

Authorized official

Name
Ms. Barbara Nakanishi, RD, LD, CDE
Title
Registered Dietitian, Coordinator
Phone
(740) 566-4870

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X
Diabetes Educator Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WD0400X Primary

Addresses

Primary practice location

75 Hospital Drive Suite 200
Castrop Center
Athens, OH 45701

Mailing address

75 Hospital Drive Suite 200
Castrop Center
Athens, OH 45701
Phone (740) 566-4870

Other names 1

  • ARHI Diabetes Center @ OU-COM Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041019000190 OH Part B Supplier - Clinic/Group Practice 6406764117 Receives reassigned benefits from 8 practitioners
2 other NPIs on this enrollment
Practice locations: Athens, OH

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

174 Grover Ctr
Athens, OH 45701
Phone (740) 593-1404

22 Grosvenor Hl
Athens, OH 45701
Phone (740) 593-2449

Practitioners & affiliated clinicians

Practitioners 10

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": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294790400000",
    "number": "1316148596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 HOSPITAL DRIVE SUITE 200",
            "address_2": "CASTROP CENTER",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "45701",
            "telephone_number": "740-566-4870",
            "fax_number": "740-566-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 HOSPITAL DRIVE SUITE 200",
            "address_2": "CASTROP CENTER",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "45701",
            "telephone_number": "740-566-4870",
            "fax_number": "740-566-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2011-01-12",
        "status": "A",
        "authorized_official_last_name": "NAKANISHI",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN, COORDINATOR",
        "authorized_official_telephone_number": "740-566-4870",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RD, LD, CDE"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARHI Diabetes Center @ OU-COM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Athens, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.