Individual provider Active NPI

Lauren Greenwell

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1427811058
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0035620 Issued in OH
Practice address
4613 Marburg Ave
Cincinnati, OH 45209-5005
Phone
(513) 782-5060
NPI assigned
Feb 5, 2024
Last updated
Feb 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4005869 KY
Family Nurse Practitioner 363LF0000X APRN.CNP.0035620 OH Primary
Registered Nurse 163W00000X RN.482513 OH
Registered Nurse 163W00000X 1139955 KY

Addresses

Primary practice location

4613 Marburg Ave
Cincinnati, OH 45209-5005

Mailing address

PO Box 932958
Cleveland, OH 44193-0028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240222003105 OH Practitioner - Nurse Practitioner 0648614156 Reassigns benefits to 1 organization
I20250311003129 KY Practitioner - Nurse Practitioner 0648614156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kiosk Medicine Kentucky LLCGroup PAC ID 6002887510, 169 clinicians
The Little Clinic of Ohio LLCGroup PAC ID 7719087584, 212 clinicians

Practice addresses (Care Compare)

2150 Dixie Hwy
Fort Mitchell, KY 41017-2902
Phone (859) 292-1784

4613 Marburg Ave
Cincinnati, OH 45209-5005
Phone (513) 782-5060

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1139955KYMDRegistered Nurse
RN.482513OHMDRegistered Nurse
4005869KYMDNurse Practitioner
APRN.CNP.0035620OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kiosk Medicine Kentucky LLC Family CurrentSince Feb 27, 2025 Accepting new patients
The Little Clinic of Ohio LLC Family CurrentSince Feb 26, 2024 Accepting new patients

Locations

2150 Dixie Hwy
Ft Mitchell, KY 41017
Phone (859) 292-1784

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

130 Pavilion Pkwy
Newport, KY 41071
Phone (859) 292-5680

3760 Paxton Ave
Cincinnati, OH 45209
Phone (513) 488-8077

4613 Marburg Ave
Cincinnati, OH 45209
Phone (513) 782-5060

199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814

Interoperability endpoints

  • Direct secure messaging: lauren.greenwell@krogerhealth.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1427811058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932958",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4613 MARBURG AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452095005",
            "telephone_number": "513-782-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWELL",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4005869",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0035620",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.482513",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1139955",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.