Individual provider Active NPI

Alexandra P Holesapple

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1609652650
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0034842 Issued in OH
Practice address
1160 W Broad St
Columbus, OH 43222-1352
Phone
(614) 274-1455
NPI assigned
Sep 6, 2023
Last updated
Nov 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0034842 OH Primary

Addresses

Primary practice location

1160 W Broad St
Columbus, OH 43222-1352

Mailing address

1160 W Broad St
Columbus, OH 43222-1352

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
I20240918000262 OH Practitioner - Nurse Practitioner 7214383876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Kentucky School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2028 Cleveland Ave
Columbus, OH 43211-2214
Phone 61427414556231

675 Price Rd
Newark, OH 43055-9506
Phone (614) 274-1455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lower Lights Christian Health Center, Inc. Current Accepting new patients
Lower Lights Christian Health Center, Inc. Current Accepting new patients
Lower Lights Christian Health Center, Inc Current Accepting new patients
Lower Lights Christian Health Center Inc Current Accepting new patients
Lower Lights Christian Health Center, Inc Current Accepting new patients
Lower Lights Christian Health Center, Inc CurrentSince Jun 1, 2024 Accepting new patients
Lower Lights Christian Health Center Inc Current Accepting new patients
Lower Lights Christian Health Center Inc CurrentSince Jun 1, 2024 Accepting new patients
Lower Lights Christian Health Center Inc PastSince Mar 12, 2023 Accepting new patients

Locations

1160 W Broad St
Columbus, OH 43222
Phone (614) 274-1433

1560 S High St
Columbus, OH 43207
Phone 61427414556220

2028 Cleveland Ave
Columbus, OH 43211

777 W State St
Ste 201
Columbus, OH 43222
Phone (614) 234-5953

L3957
Columbus, OH 43260

773 S Walnut St
Marysville, OH 43040
Phone (937) 578-2860

69 S Terrace Ave
Newark, OH 43055
Phone 61427414556231

6000 Cooper Rd
Westerville, OH 43081
Phone (614) 259-5361

Organizations & group practices 9

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": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1609652650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221352",
            "telephone_number": "614-274-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLESAPPLE",
        "first_name": "ALEXANDRA",
        "middle_name": "P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0034842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.