Professional Providers Networking LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PROFESSIONAL PROVIDERS NETWORKING LLC

Practice address

7602 Slate Ridge Blvd
Reynoldsburg, OH 43068-8157

Phone

(614) 574-1824

NPI assigned

Oct 15, 2021

Organization subpart

No

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

Authorized official

Name

Elizabeth A. Wadei, APRN FNP-BC, FNP-CNPI 1487958302

Title

Family Nurse Practitioner

Phone

(614) 574-1823

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth A. Wadei, APRN FNP-BC, FNP-C

  • Primary Care Nurse Practitioner
  • Columbus, OH
  • NPI 1487958302
  Medicare reassignment NPD Authorized official
• Norman A Schwartz, MD

  • Family Medicine Physician
  • Pataskala, OH
  • NPI 1255322335
  Medicare reassignment NPD
• Elieth Kokwesiga Kamala

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbus, OH
  • NPI 1639343007
  NPD

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1457014599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "691 E DUBLIN GRANVILLE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293209",
            "telephone_number": "614-599-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7602 SLATE RIDGE BLVD",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430688157",
            "telephone_number": "614-574-1824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "691 E Dublin Granville Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432293209",
            "country_code": "US",
            "telephone_number": "614-446-0101",
            "fax_number": "614-420-2229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROFESSIONAL PROVIDERS NETWORKING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-15",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "WADEI",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "614-574-1823",
        "authorized_official_credential": "APRN FNP-BC, FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "APRN.CNP.0028939",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "APRN.CNP.0028939",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shontaya Laroy Price
• Primary Adult Daycare, LLC
• Primary Healthcare Services, LLC
• Primrose Community Services LLC
• Professional Health Services LLC
• Prosperity Care Services
• Teletha Provitt
• Pursuit of I Am Mental Health & Wellness
• Kesley Putman, PA-C
• PWR Wellness Group, LLC

• Primary Care Clinic/Center in Reynoldsburg, OH
• Providers in Reynoldsburg, OH by specialty
• Primary Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.

Verify at the official NPI Registry.