Active NPI
Charles Michael Huber, APRN-CNP
- Family Nurse Practitioner
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- COA.12808-NP
- Practice address
- 16 W Long St
Columbus, OH 43215-2815 - Phone
- (614) 225-0980
- NPI assigned
- Oct 20, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN.CNP.12808 | OH | |
| Family Nurse Practitioner | 363LF0000X | COA.12808-NP | OH | Primary |
Addresses
Primary practice location
16 W Long St
Columbus, OH 43215-2815
Mailing address
16 W Long St
Columbus, OH 43215-2815
Phone (615) 225-0980
Other practice location 1
524 W Broad St # B
Columbus, OH 43215-2775
Phone (614) 224-4850
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast, Inc | Current | Accepting new patients | |
| Southeast, Inc | Current | Accepting new patients | |
| Southeast, Inc. | Past | Accepting new patients |
Locations
16 W Long St
Columbus, OH 43215
595 Van Buren Dr
Columbus, OH 43223
Phone (614) 293-7417
720 E Broad St
Ste 101
Columbus, OH 43215
Phone (614) 360-0122
824 Bowtown Rd
Delaware, OH 43015
Phone (740) 369-7688
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Columbus, OH
- NPI 1932169497
-
- Federally Qualified Health Center (FQHC)
- Mount Gilead, OH
- NPI 1114893203
-
- Federally Qualified Health Center (FQHC)
- Columbus, OH
- NPI 1194002857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1619252749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 W LONG ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432152815",
"telephone_number": "615-225-0980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 W LONG ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432152815",
"telephone_number": "614-225-0980"
}
],
"practiceLocations": [
{
"address_1": "524 W Broad St # B",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432152775",
"country_code": "US",
"telephone_number": "614-224-4850",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUBER",
"first_name": "CHARLES",
"middle_name": "MICHAEL",
"credential": "APRN-CNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-20",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OH",
"license": "APRN.CNP.12808",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA.12808-NP",
"primary": true
}
],
"identifiers": [],
"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 Dec 1, 2020; 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.