NPIMap

Organization Active NPI

Carebridge Primary Care

  • Primary Care Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1457814337
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
CAREBRIDGE PRIMARY CARE
Doing business as
Carebridge Primary Care
Practice address
7625 Camargo Rd
Cincinnati, OH 45243-3107
Phone
(513) 528-8150
NPI assigned
Apr 9, 2019
Last updated
Jun 11, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
CAREBRIDGE PALLIATIVE SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Angela Bowman
Title
Credentialing Specialist
Phone
(513) 528-8779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X NU Primary

Addresses

Primary practice location

7625 Camargo Rd
Cincinnati, OH 45243-3107

Mailing address

7625 Camargo Rd
Cincinnati, OH 45243-3107

Other identifiers 1

IdentifierTypeStateIssuer
3031614MedicaidOH

Other names 1

  • CAREBRIDGE PRIMARY CARE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carebridge Palliative Services Inc2 organizations share this tax ID, including this one
Part of
Carebridge Palliative Services Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1457814337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7625 CAMARGO RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452433107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 CAMARGO RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452433107",
            "telephone_number": "513-528-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREBRIDGE PRIMARY CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAREBRIDGE PALLIATIVE SERVICES INC",
        "enumeration_date": "2019-04-09",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "513-528-8779"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3031614",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAREBRIDGE PRIMARY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.