Individual provider Active NPI

Lavinda McAuliffe, NP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Middletown, OH
National Provider Identifier
1629523816
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.019381 Issued in OH
Practice address
6730 Roosevelt Ave Ste 201
Middletown, OH 45005-5730
Phone
(513) 279-8035
Fax
(513) 318-7386
NPI assigned
Aug 17, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP019381 OH
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0808X APRN.CNP.019381 OH Primary

Addresses

Primary practice location

6730 Roosevelt Ave Ste 201
Middletown, OH 45005-5730

Mailing address

5146 Renaissance Park Dr
Franklin, OH 45005-9697
Phone (513) 317-2168

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
I20170109002942 OH Practitioner - Nurse Practitioner 9032490842 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Owlbridge WellnessGroup PAC ID 9335564665, 5 clinicians

Practice addresses (Care Compare)

6730 Roosevelt Ave
Suite 201
Middletown, OH 45005-5730
Phone (513) 279-8035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP019381OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Side Wellness Associates, LLC Single Specialty CurrentSince May 1, 2018 Accepting new patients
Owlbridge Wellness Single Specialty CurrentSince Jun 1, 2020 Accepting new patients
Lima Memorial Joint Operating Company Single Specialty Past Accepting new patients

Locations

5412 Courseview Dr
Ste 215
Mason, OH 45040
Phone (513) 204-1910

3615 Socialville Foster Rd
Ste C
Mason, OH 45040
Phone (513) 204-1910

6730 Roosevelt Ave
Ste 201
Middletown, OH 45005
Phone (513) 279-8035

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.

NPI Registry JSON

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1629523816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5146 RENAISSANCE PARK DR",
            "city": "FRANKLIN",
            "state": "OH",
            "postal_code": "450059697",
            "telephone_number": "513-317-2168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6730 ROOSEVELT AVE STE 201",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450055730",
            "telephone_number": "513-279-8035",
            "fax_number": "513-318-7386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCAULIFFE",
        "first_name": "LAVINDA",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-17",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP019381",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.019381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

Verify at the official NPI Registry.