Individual provider Active NPI

Cindy L Berthold, CNP

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1497724694
Registry record updated Jun 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP06841 Issued in OH
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

Updated by the provider on Jun 17, 2009

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 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

IdentifierTypeStateIssuer
2488553MedicaidOH
000000546027OtherOHANTHEM 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
NP06841OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Panorama Healthcare LLC CurrentSince Mar 13, 2024 Accepting new patients
Trinity NP Care LLC CurrentSince May 1, 2008 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. PastSince Jun 3, 2024 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.

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

Verify at the official NPI Registry.