Individual provider Active NPI

Linda M Griffin Nsombi

  • Family Nurse Practitioner
  • West Chester, OH
National Provider Identifier
1649587692
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.11489-NP Issued in OH
Practice address
9050 Centre Pointe Dr
West Chester, OH 45069-4874
Phone
(513) 603-6225
NPI assigned
Sep 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2014

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 COA.11489-NP OH Primary

Addresses

Primary practice location

9050 Centre Pointe Dr
West Chester, OH 45069-4874

Mailing address

9050 Centre Pointe Dr
West Chester, OH 45069-4874
Phone (513) 603-6224

Other names 1

  • Linda M Nsombi Former name

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
I20101102000282 OH Practitioner - Nurse Practitioner 0547454746 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.11489-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
360Team Psychiatry LLC CurrentSince Aug 12, 2022 Accepting new patients
Modern Psychiatry and Wellness LLC CurrentSince Aug 1, 2020 Accepting new patients
Modern Psychiatry & Wellness, LLC CurrentSince Nov 1, 2020 Accepting new patients

Locations

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

3189 Princeton Rd
Fairfield Township, OH 45011
Phone (513) 293-0405

1910 Fairgrove Ave
Ste E
Hamilton, OH 45011
Phone (513) 299-4025

740 Commerce Dr
Ste A
Perrysburg, OH 43551
Phone 24852821166

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5507/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.qualifacts.org/api/fhir/mpwhealth/r4/

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": "1284076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399593600000",
    "number": "1649587692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9050 CENTRE POINTE DR",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450694874",
            "telephone_number": "513-603-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 CENTRE POINTE DR",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450694874",
            "telephone_number": "513-603-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN NSOMBI",
        "first_name": "LINDA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-10",
        "last_updated": "2014-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.11489-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "NSOMBI",
            "middle_name": "M",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Chester, OH

Sources for this page

Verify at the official NPI Registry.