Active NPI
Holyhills Healthcare Services LLC
- Adult Health Nurse Practitioner
- Reynoldsburg, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 1457502502
- Legal business name
- HOLYHILLS HEALTHCARE SERVICES LLC
- Practice address
- 6760 Tussing Rd
#104
Reynoldsburg, OH 43068-4129 - Phone
- (614) 441-2231
- NPI assigned
- Feb 21, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nana Akua Dwomo, FNP
- Title
- C.E.O
- Phone
- (614) 441-2231
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 1457502502 | OH | Primary |
Addresses
Primary practice location
6760 Tussing Rd
#104
Reynoldsburg, OH 43068-4129
Mailing address
6760 Tussing Road
#104
Columbus, OH 43068
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2136137 | Holyhills Healthcare Services, LLC | Certificate of waiver | Sep 4, 2027 |
National Provider Directory
National Provider DirectoryLocations
6760 Tussing Rd
Ste 104
Reynoldsburg, OH 43068
Phone (614) 377-4592
450 Alkyre Run
Westerville, OH 43082
Phone (614) 382-4313
Practitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Columbus, OH
- NPI 1457502502
-
- Emergency Medicine Physician
- Pickerington, OH
- NPI 1366439325
-
- Nurse Practitioner
- Columbus, OH
- NPI 1154181402
-
- Psychiatric/Mental Health Nurse Practitioner
- Columbus, OH
- NPI 1316397318
-
- Family Nurse Practitioner
- Reynoldsburg, OH
- NPI 1104512847
-
- Nurse Practitioner
- Reynoldsburg, OH
- NPI 1154087104
-
- Family Medicine Physician
- Pataskala, OH
- NPI 1255322335
-
- Psychiatric/Mental Health Nurse Practitioner
- Westerville, OH
- NPI 1316179880
-
- Family Nurse Practitioner
- Columbus, OH
- NPI 1093295164
-
- Family Nurse Practitioner
- Columbus, OH
- NPI 1043875636
-
- Family Nurse Practitioner
- Pickerington, OH
- NPI 1922594746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487635200000",
"number": "1407395692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6760 TUSSING ROAD",
"address_2": "#104",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6760 TUSSING RD",
"address_2": "#104",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430684129",
"telephone_number": "614-441-2231"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLYHILLS HEALTHCARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-21",
"last_updated": "2017-02-21",
"status": "A",
"authorized_official_last_name": "DWOMO",
"authorized_official_first_name": "NANA AKUA",
"authorized_official_title_or_position": "C.E.O",
"authorized_official_telephone_number": "614-441-2231",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": "OH",
"license": "1457502502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reynoldsburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.