Individual provider Active NPI

Amy Canini, APRN, FNP-C

  • Family Nurse Practitioner
  • Upper Arlington, OH
National Provider Identifier
1528637600
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0027283 Issued in OH
Practice address
1885 Henderson Rd
Upper Arlington, OH 43220-2501
Phone
(614) 451-6555
NPI assigned
Jun 22, 2021
Last updated
Apr 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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 0027283 OH Primary

Addresses

Primary practice location

1885 Henderson Rd
Upper Arlington, OH 43220-2501

Mailing address

1885 Henderson Rd
Upper Arlington, OH 43220-2501
Phone (614) 451-6555

Other practice location 1

500 S Cleveland Ave
Westerville, OH 43081-8971
Phone (380) 898-4000 ext. 0001

Other practice location 2

8930 Ohio River Rd
Wheelersburg, OH 45694-1922
Phone (614) 722-2000

Other practice location 3

6435 E Broad St
Columbus, OH 43213-1507
Phone (614) 722-2000

Other practice location 4

4363 All Seasons Dr
Hilliard, OH 43026-2050
Phone (614) 722-2000

Other practice location 5

830 W High St
Lima, OH 45801-3971
Phone (614) 722-6200

Other practice location 6

7853 Pacer Dr
Delaware, OH 43015-7571
Phone (614) 722-2000

Other practice location 7

455 Executive Campus Dr
Westerville, OH 43082-8870
Phone (614) 722-2000

Other practice location 8

5675 Venture Dr
Dublin, OH 43017-2159
Phone (614) 722-2000

Other practice location 9

1 Childrens Plz
Dayton, OH 45404-1873
Phone (614) 722-6200

Other practice location 10

555 S 18th St
Columbus, OH 43205-2654
Phone (614) 722-2000

Other practice location 11

7901 Diley Rd
Canal Winchester, OH 43110-9612
Phone (614) 355-9050

Other practice location 12

536 S Trimble Rd
Mansfield, OH 44906-3418
Phone (614) 722-2000

Other practice location 13

26 Hospital Dr
Athens, OH 45701-2471
Phone (614) 722-2000

Other identifiers 1

IdentifierTypeStateIssuer
0458338MedicaidOH

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
I20211018002955 OH Practitioner - Nurse Practitioner 0042618332 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wissam Khoury DPM LLCGroup PAC ID 2668517061, 13 clinicians
Mobile Wound Healing LLCGroup PAC ID 6204275514, 8 clinicians

Practice addresses (Care Compare)

2475 E 22ND St
Suite 120
Cleveland, OH 44115-3221
Phone (216) 367-9444

6371 Riverside Dr
Suite 1100
Dublin, OH 43017-5446
Phone (614) 516-6980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0027283OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Wound Healing LLC CurrentSince Nov 18, 2024 Accepting new patients
Nationwide Children's Hospital Past Accepting new patients

Locations

6371 Riverside Dr
Ste 1100
Dublin, OH 43017
Phone (614) 516-6980

6375 Riverside Dr
Ste 105
Dublin, OH 43017
Phone (614) 516-6980

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.

NPI Registry JSON

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1528637600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 HENDERSON RD",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432202501",
            "telephone_number": "614-451-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 HENDERSON RD",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432202501",
            "telephone_number": "614-451-6555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 S Cleveland Ave",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430818971",
            "country_code": "US",
            "telephone_number": "380-898-4000 x0001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8930 Ohio River Rd",
            "address_purpose": "LOCATION",
            "city": "Wheelersburg",
            "state": "OH",
            "postal_code": "456941922",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6435 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432131507",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4363 All Seasons Dr",
            "address_purpose": "LOCATION",
            "city": "Hilliard",
            "state": "OH",
            "postal_code": "430262050",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "830 W High St",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458013971",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7853 Pacer Dr",
            "address_purpose": "LOCATION",
            "city": "Delaware",
            "state": "OH",
            "postal_code": "430157571",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 Executive Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430828870",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5675 Venture Dr",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430172159",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Childrens Plz",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454041873",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 S 18th St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432052654",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7901 Diley Rd",
            "address_purpose": "LOCATION",
            "city": "Canal Winchester",
            "state": "OH",
            "postal_code": "431109612",
            "country_code": "US",
            "telephone_number": "614-355-9050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "536 S Trimble Rd",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "OH",
            "postal_code": "449063418",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "OH",
            "postal_code": "457012471",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANINI",
        "first_name": "AMY",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0027283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0458338",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Arlington, OH

Sources for this page

Verify at the official NPI Registry.