Active NPI
Cindy L Berthold, CNP
- Family Nurse Practitioner
- Columbus, OH
National Provider Identifier
1497724694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP06841
- Practice address
- 2127 Tall Timbers CT
Columbus, OH 43228-9638 - Phone
- (614) 496-6491
- Fax
- (614) 279-7337
- NPI assigned
- Mar 17, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP06841 | OH | Primary |
Addresses
Primary practice location
2127 Tall Timbers CT
Columbus, OH 43228-9638
Mailing address
2127 Tall Timbers CT
Columbus, OH 43228-9638
Phone (614) 496-6491
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2488553 | Medicaid | OH | |
| 000000546027 | Other | OH | ANTHEM BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|---|
| I20040720001668 | OH | Practitioner - Nurse Practitioner | 0244210334 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP06841 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Panorama Healthcare LLC | Current | Accepting new patients | |
| Trinity NP Care LLC | Current | Accepting new patients | |
| NP Care of Ohio, LLC | Past | Accepting new patients | |
| Ohio Nurse Practitioners, Inc. | Past | Accepting new patients | |
| Akron Pathology Assoc Inc | Past | Accepting new patients | |
| Misken Consulting Inc | Past | Accepting new patients | |
| Misken Consulting Inc | Past | Accepting new patients | |
| Hospital Care Group, P.C. | Past | Accepting new patients |
Locations
30701 Lorain Rd
Ste A
North Olmsted, OH 44070
1414 S Green Rd
Ste 206
South Euclid, OH 44121
Phone (216) 258-3814
Organizations & group practices 8
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Akron, OH
- NPI 1215993381
-
- Family Medicine Physician
- Washington Court House, OH
- NPI 1851701254
-
- Geriatric Medicine (Family Medicine) Physician
- Grove City, OH
- NPI 1962462325
-
- Nurse Practitioner
- Dublin, OH
- NPI 1457433583
-
- Gerontology Nurse Practitioner
- Columbus, OH
- NPI 1821105875
-
- Internal Medicine Physician
- Fort Wayne, IN
- NPI 1295083624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245196800000",
"number": "1497724694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2127 TALL TIMBERS CT",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432289638",
"telephone_number": "614-496-6491",
"fax_number": "614-279-7337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2127 TALL TIMBERS CT",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432289638",
"telephone_number": "614-496-6491",
"fax_number": "614-279-7337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTHOLD",
"first_name": "CINDY",
"middle_name": "L",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-17",
"last_updated": "2009-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "NP06841",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2488553",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
"identifier": "000000546027",
"state": "OH"
}
],
"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 Jun 17, 2009; 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.