Individual provider Active NPI

Daleshannon Marie Larry, CNP

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1457021347
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0029638 Issued in OH
Practice address
5000 E Main St
Columbus, OH 43213-2440
Phone
(614) 235-5555
Fax
(614) 536-1994
NPI assigned
Sep 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0029638 OH Primary

Addresses

Primary practice location

5000 E Main St
Columbus, OH 43213-2440

Mailing address

5000 E Main St
Columbus, OH 43213-2440
Phone (614) 235-5555

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
I20211005003477 OH Practitioner - Nurse Practitioner 2567860570 Reassigns benefits to 2 organizations

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
Equitas Health,IncGroup PAC ID 2769638154, 37 clinicians

Practice addresses (Care Compare)

1033 N High St
Columbus, OH 43201-2409
Phone (614) 340-6777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Equitas Health, Inc CurrentSince Jul 11, 2022 Accepting new patients
Equitas Health, Inc CurrentSince Jul 11, 2022 Accepting new patients
The Little Clinic of Ohio LLC Family CurrentSince Sep 13, 2021 Accepting new patients
Equitas Health,Inc Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1105 Schrock Rd
Ste 400
Columbus, OH 43229

750 E Long St
Ste 3000
Columbus, OH 43203
Phone (614) 340-6693

1033 N High St
Columbus, OH 43201
Phone (614) 340-6776

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

L3842
Columbus, OH 43260

1222 S Patterson Blvd
Ste 230
Dayton, OH 45402
Phone (937) 223-5350

1045 Hill Rd N
Pickerington, OH 43147
Phone (614) 328-0341

2805 Gilbert Ave
Walnut Hills, OH 45206
Phone (513) 281-4116

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1457021347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 E MAIN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132440",
            "telephone_number": "614-235-5555",
            "fax_number": "614-536-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 E MAIN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132440",
            "telephone_number": "614-235-5555",
            "fax_number": "614-536-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARRY",
        "first_name": "DALESHANNON",
        "middle_name": "MARIE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0029638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.