Individual provider Active NPI

Talia Nicole Cromwell, C.N.P.

  • Family Nurse Practitioner
  • Sunbury, OH
National Provider Identifier
1699870360
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN311014 Issued in OH
Practice address
44 S Kintner Pkwy
Suite a
Sunbury, OH 43074-9368
Phone
(740) 965-4362
Fax
(740) 994-8455
NPI assigned
Sep 14, 2006
Last updated
Dec 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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 RN311014 OH Primary

Addresses

Primary practice location

44 S Kintner Pkwy
Suite a
Sunbury, OH 43074-9368

Mailing address

8624 Oak Creek Dr
Lewis Center, OH 43035-8994
Phone (740) 549-6506

Other names 1

  • Miss Talia Nicole Brader 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
I20070312000145 OH Practitioner - Nurse Practitioner 7517060668 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN311014OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Little Clinic of Ohio LLC Family CurrentSince Dec 31, 2012 Accepting new patients
Edward T. Arcy, D.O., Inc. Past Accepting new patients
Premise Health of Ohio Medical, P.a Past Accepting new patients

Locations

199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1699870360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8624 OAK CREEK DR",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430358994",
            "telephone_number": "740-549-6506",
            "fax_number": "740-994-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 S KINTNER PKWY",
            "address_2": "SUITE A",
            "city": "SUNBURY",
            "state": "OH",
            "postal_code": "430749368",
            "telephone_number": "740-965-4362",
            "fax_number": "740-994-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROMWELL",
        "first_name": "TALIA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "C.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RN311014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TALIA",
            "last_name": "BRADER",
            "middle_name": "NICOLE",
            "prefix": "MISS",
            "credential": "C.N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sunbury, OH

Sources for this page

Verify at the official NPI Registry.