Active NPI
Linda Lee Tanzillo, NP
- Neonatal Nurse Practitioner
- Columbus, OH
National Provider Identifier
1639296080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- APRN.CNP.03763
- Practice address
- 700 Childrens Dr
Columbus, OH 43205-2664 - Phone
- (614) 722-2000
- NPI assigned
- Mar 23, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | APRN.CNP.03763 | OH | |
| Neonatal Nurse Practitioner | 363LN0000X | APRN.CNP.03763 | OH | Primary |
Addresses
Primary practice location
700 Childrens Dr
Columbus, OH 43205-2664
Mailing address
700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-2000
Other practice location 1
5300 N Meadows Dr
Grove City, OH 43123-2546
Phone (614) 663-5300
Other practice location 2
7500 Hospital Dr
Dublin, OH 43016-8518
Phone (614) 544-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0201097 | Medicaid | OH |
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.03763 | OH | MD | Neonatal Nurse Practitioner |
Interoperability endpoints
- ltanzillo1153783@direct.trinity-health.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745539200000",
"number": "1639296080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 CHILDRENS DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052664",
"telephone_number": "614-722-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 CHILDRENS DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052664",
"telephone_number": "614-722-2000"
}
],
"practiceLocations": [
{
"address_1": "5300 N Meadows Dr",
"address_purpose": "LOCATION",
"city": "Grove City",
"state": "OH",
"postal_code": "431232546",
"country_code": "US",
"telephone_number": "614-663-5300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7500 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Dublin",
"state": "OH",
"postal_code": "430168518",
"country_code": "US",
"telephone_number": "614-544-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TANZILLO",
"first_name": "LINDA",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2025-04-25",
"certification_date": "2025-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "OH",
"license": "APRN.CNP.03763",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "OH",
"license": "APRN.CNP.03763",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0201097",
"state": "OH"
}
],
"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 Apr 25, 2025; 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.