NPIMap

Individual provider Active NPI

Heather Oberneder, CNP

  • Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1487203733
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ACNPC-AG Issued in OH
Practice address
2109 Hughes Dr Ste 920
Toledo, OH 43606-5116
Phone
(419) 479-2650
Fax
(419) 479-2655
NPI assigned
Sep 10, 2019
Last updated
Sep 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ACNPC-AG OH Primary

Addresses

Primary practice location

2109 Hughes Dr Ste 920
Toledo, OH 43606-5116

Mailing address

2109 Hughes Dr Ste 920
Toledo, OH 43606-5116
Phone (419) 479-2650

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL NEPHREMITS@GMAIL.COM Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191122000083 OH Practitioner - Nephrology 1254763543 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Consultants of Northwest Ohio, IncGroup PAC ID 0941197172, 10 clinicians

Practice addresses (Care Compare)

2109 Hughes Dr
Toledo, OH 43606-3858

2109 Hughes Dr
Suite 920
Toledo, OH 43606-5116

7644 Kings Pointe Rd
Toledo, OH 43617-1500
Phone (419) 479-2650

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACNPC-AGOHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians Nurse Practitioner CurrentSince Dec 25, 2023 Accepting new patients
Promedica Central Physicians CurrentSince Dec 25, 2023 Accepting new patients

Locations

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

2109 Hughes Dr
Ste 760
Toledo, OH 43606
Phone (419) 291-7555

2109 Hughes Dr
Ste 920
Toledo, OH 43606
Phone (419) 479-2650

Organizations & group practices 3

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 6

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": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1487203733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 HUGHES DR STE 920",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436065116",
            "telephone_number": "419-479-2650",
            "fax_number": "419-479-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 HUGHES DR STE 920",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436065116",
            "telephone_number": "419-479-2650",
            "fax_number": "419-479-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERNEDER",
        "first_name": "HEATHER",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "ACNPC-AG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NEPHREMITS@GMAIL.COM",
            "affiliation": "N",
            "endpointDescription": "MANAGER EMAIL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2109 Hughes Dr Ste 920",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436065116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.