Individual provider Active NPI

Laura Suzanne Rothschild

  • Gerontology Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1437625498
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
023800 Issued in OH
Practice address
1730 S Reynolds Rd
Toledo, OH 43614-1402
Phone
(419) 865-1499
NPI assigned
Oct 17, 2018
Last updated
Oct 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 023800 OH Primary

Addresses

Primary practice location

1730 S Reynolds Rd
Toledo, OH 43614-1402

Mailing address

1000 Jackson St
Toledo, OH 43604-5515
Phone (419) 241-9000

Other identifiers 1

IdentifierTypeStateIssuer
APRN.CP.023800OtherOHOHIO BOARD OF NURSING FNP CERTIFICATION NUMBER

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190131003124 OH Practitioner - Nurse Practitioner 9537406384 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kingston Care Partners, LLCGroup PAC ID 1850589102, 11 clinicians

Practice addresses (Care Compare)

333 E Boundary St
Perrysburg, OH 43551-2860
Phone (419) 872-6200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
023800OHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kingston Care Partners, LLC CurrentSince Dec 1, 2018 Accepting new patients

Locations

1120 Dunaway St
Miamisburg, OH 45342
Phone (937) 307-5949

345 E Boundary St
Perrysburg, OH 43551
Phone (419) 535-6152

4121 King Rd
Sylvania, OH 43560
Phone (419) 517-8200

1 Seagate
Ste 1960
Toledo, OH 43604
Phone (419) 247-2880

4210 Telegraph Ln
Vermilion, OH 44089
Phone (440) 276-6577

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1437625498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 JACKSON ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436045515",
            "telephone_number": "419-241-9000",
            "fax_number": "419-241-6894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 S REYNOLDS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141402",
            "telephone_number": "419-865-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHSCHILD",
        "first_name": "LAURA",
        "middle_name": "SUZANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "023800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BOARD OF NURSING FNP CERTIFICATION NUMBER",
            "identifier": "APRN.CP.023800",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.