Active NPI
Lina Nasr-Anaissie, M.D.
- Family Medicine Physician
- Liberty TWP, OH
National Provider Identifier
1386752947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35-120321
- Practice address
- 6645 Princeton Glendale Rd
Liberty TWP, OH 45011-7547 - Phone
- (513) 829-2883
- Fax
- (513) 829-6346
- NPI assigned
- Aug 25, 2006
- Last updated
- Mar 27, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35-120321 | OH | Primary |
Addresses
Primary practice location
6645 Princeton Glendale Rd
Liberty TWP, OH 45011-7547
Mailing address
PO Box 636256 Central Credentialing
Cincinnati, OH 45263-6256
Phone (513) 585-5507
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100242590 | Medicaid | KY | |
| 0084667 | 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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-120321 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chenal Family Practice | Past | Accepting new patients | |
| Jefferson Comprehensive Care System, Inc | Past | Accepting new patients | |
| Arkansas Family Care Network | Family Medicine | Past | Accepting new patients |
| Longinotti Williams Aprn Services PLLC | Past | Accepting new patients |
Interoperability endpoints
- lnasranaissie59300@direct.uchealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Cincinnati, OH
- NPI 1801840434
-
- Family Medicine Physician
- North Little Rock, AR
- NPI 1497718134
-
- Medical Specialty Clinic/Center
- Little Rock, AR
- NPI 1013066513
-
- Federally Qualified Health Center (FQHC)
- Little Rock, AR
- NPI 1457054769
-
dba Assurance Health & Wellness Clinic
- Primary Care Clinic/Center
- Little Rock, AR
- NPI 1639765373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553644800000",
"number": "1386752947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 636256 CENTRAL CREDENTIALING",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452636256",
"telephone_number": "513-585-5507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6645 PRINCETON GLENDALE RD",
"city": "LIBERTY TWP",
"state": "OH",
"postal_code": "450117547",
"telephone_number": "513-829-2883",
"fax_number": "513-829-6346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASR-ANAISSIE",
"first_name": "LINA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2019-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35-120321",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100242590",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0084667",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Liberty TWP, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.