Organization Active NPI

Elite Walk-in Clinic LLC

  • Primary Care Nurse Practitioner
  • Reynoldsburg, OH
National Provider Identifier
1598490948
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
ELITE WALK-IN CLINIC LLC
Practice address
1684 Brice Rd
Reynoldsburg, OH 43068-2704
Phone
(614) 966-9011
NPI assigned
Jul 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Authorized official

Name
Linda Owusu AwuahNPI 1144716275
Title
Owner
Phone
(614) 372-3564

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

1684 Brice Rd
Reynoldsburg, OH 43068-2704

Mailing address

1684 Brice Rd
Reynoldsburg, OH 43068-2704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230202000882 OH Part B Supplier - Clinic/Group Practice 9830561760 Receives reassigned benefits from 1 practitioner
Practice locations: Reynoldsburg, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2272453Elite Walk-in Clinic LLC1684 Brice Road, Reynoldsburg, OH 43068Certificate of waiverNov 20, 2026

National Provider Directory

National Provider Directory

Locations

1684 Brice Rd
Reynoldsburg, OH 43068
Phone (614) 966-9011

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23900/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1598490948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1684 BRICE RD",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1684 BRICE RD",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682704",
            "telephone_number": "614-966-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE WALK-IN CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "AWUAH",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "OWUSU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-372-3564"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.