Individual provider Active NPI

Emily Corrine Maholm, FNP

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1619643814
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0029568 Issued in OH
Practice address
5005 Arlington Centre Blvd
Columbus, OH 43220-2912
Phone
(614) 246-6900
Fax
(614) 246-6909
NPI assigned
Aug 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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 APRN.CNP.0029568 OH Primary

Addresses

Primary practice location

5005 Arlington Centre Blvd
Columbus, OH 43220-2912

Mailing address

765 Bobcat Ave Unit D
Columbus, OH 43212-3982
Phone (614) 558-8241

Other practice location 1

1356 Cherry Way Dr
Gahanna, OH 43230-6775
Phone (614) 246-6900

Other names 1

  • Emily Corrine Kauffeld Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Mar 21, 2024 through Mar 21, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0029568OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Aesthetic and Plastic Surgery, Inc CurrentSince Aug 28, 2021 Accepting new patients

Locations

1356 Cherry Way Dr
Gahanna, OH 43230
Phone (614) 246-6900

5005 Arlington Centre Blvd
Upper Arlngtn, OH 43220
Phone (614) 246-6900

Organizations & group practices 1

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": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1619643814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 BOBCAT AVE UNIT D",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123982",
            "telephone_number": "614-558-8241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 ARLINGTON CENTRE BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202912",
            "telephone_number": "614-246-6900",
            "fax_number": "614-246-6909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1356 Cherry Way Dr",
            "address_purpose": "LOCATION",
            "city": "Gahanna",
            "state": "OH",
            "postal_code": "432306775",
            "country_code": "US",
            "telephone_number": "614-246-6900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHOLM",
        "first_name": "EMILY",
        "middle_name": "CORRINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0029568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "KAUFFELD",
            "middle_name": "CORRINE",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.