Individual provider Active NPI

Lynn Marie Roberts, CRNP

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1386634327
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.06760 Issued in OH
Practice address
111 S Grant Ave
7TH FL
Columbus, OH 43215
Phone
(614) 566-9000
NPI assigned
Oct 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.06760 OH Primary
Nurse Practitioner 363L00000X COA155215 OH

Addresses

Primary practice location

111 S Grant Ave
7TH FL
Columbus, OH 43215

Mailing address

1299 Olentangy River Rd
Ste 103
Columbus, OH 43212-3135
Phone (614) 566-4278

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050214001027 OH Practitioner - Nurse Practitioner 2567414998 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA155215OHMDNurse Practitioner
APRN.CNP.06760OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Employer Services, LLC Family CurrentSince Aug 1, 2018 Accepting new patients
Ohiohealth Corporation Past Accepting new patients
Orthopedic Trauma Services LTD Past Accepting new patients

Locations

6380 Canal St
Canal Winchester, OH 43110
Phone (614) 829-1888

Dept L3652
Columbus, OH 43260

5555 Cleveland Ave
Columbus, OH 43231
Phone (614) 788-5280

111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232

111 S Grant Ave
Fl 7
Columbus, OH 43215

5400 Frantz Rd
Ste 250
Dublin, OH 43016
Phone (614) 544-6161

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.

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1386634327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 OLENTANGY RIVER RD",
            "address_2": "STE 103",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123135",
            "telephone_number": "614-566-4278",
            "fax_number": "614-566-5424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S GRANT AVE",
            "address_2": "7TH FL",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43215",
            "telephone_number": "614-566-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "LYNN",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.06760",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA155215",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.