Active NPI
Kristin Elisabeth Lind, C.N.P.
- Nurse Practitioner
- Columbus, OH
National Provider Identifier
1457762247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- COA16400NP
- Practice address
- 460 W 10TH Ave
Columbus, OH 43210-1240 - Phone
- (614) 293-3316
- Fax
- (614) 685-7266
- NPI assigned
- May 14, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | COA16400NP | OH | Primary |
Addresses
Primary practice location
460 W 10TH Ave
Columbus, OH 43210-1240
Mailing address
460 W 10TH Ave
Room B 160
Columbus, OH 43210-1240
Phone (614) 293-3316
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140922002244 | OH | Practitioner - Nurse Practitioner | 6103045232 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA16400NP | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osu Internal Medicine, LLC | Current | Accepting new patients |
Locations
700 Ackerman Rd
Ste 570
Columbus, OH 43202
Phone (614) 293-2046
460 W 10th Ave
Rm B
Columbus, OH 43210
460 W 10th Ave
Columbus, OH 43210
Phone (614) 293-3196
3900 Stoneridge Ln
Dublin, OH 43017
Phone (614) 366-5001
Organizations & group practices 1
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": "1400025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452643200000",
"number": "1457762247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 W 10TH AVE",
"address_2": "ROOM B 160",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432101240",
"telephone_number": "614-293-3316",
"fax_number": "614-685-7266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 W 10TH AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432101240",
"telephone_number": "614-293-3316",
"fax_number": "614-685-7266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIND",
"first_name": "KRISTIN",
"middle_name": "ELISABETH",
"credential": "C.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-14",
"last_updated": "2016-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "COA16400NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.