Active NPI
Cody Ernst, NP
- Psychiatric/Mental Health Nurse Practitioner
- West Chester, OH
National Provider Identifier
1386235463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN.CNP.0028749
- Practice address
- 6942 Tylersville Rd
West Chester, OH 45069-1511 - Phone
- (513) 795-7557
- NPI assigned
- Feb 1, 2021
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | RN.456484 | OH | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN.CNP.0028749 | OH | Primary |
Addresses
Primary practice location
6942 Tylersville Rd
West Chester, OH 45069-1511
Mailing address
1910 Fairgrove Ave Ste E
Hamilton, OH 45011-1930
Phone (513) 795-7557
Other practice location 1
1910 Fairgrove Ave Ste E
Hamilton, OH 45011-1930
Phone (513) 795-7557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.456484 | OH | MD | Addiction (Substance Use Disorder) Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Modern Psychiatry & Wellness, LLC | Current | Accepting new patients | |
| Flipside Psychiatric Services, LLC | Psychiatric/Mental Health | Past | Accepting new patients |
Locations
1910 Fairgrove Ave
Ste E
Hamilton, OH 45011
Phone (513) 299-4025
6942 Tylersville Rd
West Chester, OH 45069
Phone (513) 795-7557
Interoperability endpoints
- https://api.platform.athenahealth.com/5507/brand/1/csg/1/fhir/r4
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.
-
- Adult Mental Health Clinic/Center
- Hamilton, OH
- NPI 1699251553
-
- Psychiatric/Mental Health Nurse Practitioner
- Lawrenceburg, IN
- NPI 1013654888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618790400000",
"number": "1386235463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 FAIRGROVE AVE STE E",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450111930",
"telephone_number": "513-795-7557",
"fax_number": "513-297-7577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6942 TYLERSVILLE RD",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450691511",
"telephone_number": "513-795-7557"
}
],
"practiceLocations": [
{
"address_1": "1910 Fairgrove Ave Ste E",
"address_purpose": "LOCATION",
"city": "Hamilton",
"state": "OH",
"postal_code": "450111930",
"country_code": "US",
"telephone_number": "513-795-7557",
"fax_number": "513-297-7577",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ERNST",
"first_name": "CODY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-01",
"last_updated": "2021-04-19",
"certification_date": "2021-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "RN.456484",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OH",
"license": "APRN.CNP.0028749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Chester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.