Individual provider Active NPI

Angela Eten, FNP-BC

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1376041061
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.022105 Issued in OH
Practice address
4700 E Galbraith Rd Ste 301
Cincinnati, OH 45236
Phone
(502) 327-9100
NPI assigned
Jan 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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 APRN.CNP.022105 OH Primary

Addresses

Primary practice location

4700 E Galbraith Rd Ste 301
Cincinnati, OH 45236

Mailing address

6111 Oak Tree Blvd
Ste 301
Independence, OH 44131-2585
Phone (513) 807-6659

Other identifiers 1

IdentifierTypeStateIssuer
14285927OtherCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

111 SW Naito Pkwy
Suite 200
Portland, OR 97204-3512

17 S High St
Suite 1000
Columbus, OH 43215-3481

25731 Hummingbird CT
Brookville, IN 47012-9522

3090 Bristol St
Suite 200
Costa Mesa, CA 92626-3061

4850 Smith Rd
Cincinnati, OH 45212-2733

6111 Oak Tree Blvd
Suite 301
Independence, OH 44131-2585

7116 Bobwood Ave
Cincinnati, OH 45231-5227

7947 S Cold Stone LN
West Jordan, UT 84081-6004

Hospital & facility affiliations

  • Rush Memorial Hospital Hospital, Rushville, IN, CCN 151304

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.022105OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PA Post Acute Services PC CurrentSince May 12, 2024 Accepting new patients
CNP Operating Co LLC CurrentSince May 2, 2024 Accepting new patients
Consonant Healing Associates of de LLC Past Accepting new patients
Md2U Ohio LLC Past Accepting new patients

Locations

388 S Main St
Ste 440
Akron, OH 44311
Phone (216) 282-5244

2025 Wyoming Ave
Ste 1112
Cincinnati, OH 45205

8055 Addison Rd
Masury, OH 44438
Phone (330) 448-2547

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1517011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1376041061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6111 OAK TREE BLVD",
            "address_2": "STE 301",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312585",
            "telephone_number": "513-807-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 E GALBRAITH RD STE 301",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45236",
            "telephone_number": "502-327-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETEN",
        "first_name": "ANGELA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-27",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.022105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14285927",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.