Individual provider Active NPI

Katherine Lorine Redick, CNP

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1700334786
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.019529 Issued in OH
Practice address
290 E Town St
Columbus, OH 43215-4602
Phone
(614) 788-5400
Fax
(614) 788-5500
NPI assigned
Sep 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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.019529 OH Primary

Addresses

Primary practice location

290 E Town St
Columbus, OH 43215-4602

Mailing address

5450 Frantz Rd Ste 360
Dublin, OH 43016-4141
Phone (614) 533-6497

Other practice location 1

393 E Town St
Suite 116
Columbus, OH 43215-4741
Phone (614) 566-9108

Other identifiers 1

IdentifierTypeStateIssuer
0199087MedicaidOH

Other names 1

  • Katherine Redick Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kshoup160425@direct.ohiohealth.com OhioHealth Physician Group

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
I20161213000938 OH Practitioner - Nurse Practitioner 9739469560 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

393 E Town St
Suite 116
Columbus, OH 43215-4799
Phone (614) 566-9108

Hospital & facility affiliations

  • Grant Medical Center Hospital, Columbus, OH, CCN 360017

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.019529OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Urgent Care LLC CurrentSince Nov 1, 2020 Accepting new patients
Ohiohealth Corporation CurrentSince Nov 17, 2016 Accepting new patients
Ohiohealth Corporation CurrentSince Nov 17, 2016 Accepting new patients

Locations

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

290 E Town St
Columbus, OH 43215
Phone (614) 788-5400

Dept L3652
Columbus, OH 43260

6905 Hospital Dr
Ste 130
Dublin, OH 43016
Phone (614) 923-0300

5450 Frantz Rd
Ste 360
Dublin, OH 43016
Phone (614) 533-6497

2030 Stringtown Rd
Grove City, OH 43123
Phone (614) 566-0987

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1700334786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 FRANTZ RD STE 360",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430164141",
            "telephone_number": "614-533-6497",
            "fax_number": "614-544-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 E TOWN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154602",
            "telephone_number": "614-788-5400",
            "fax_number": "614-788-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "393 E Town St",
            "address_2": "Suite 116",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432154741",
            "country_code": "US",
            "telephone_number": "614-566-9108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDICK",
        "first_name": "KATHERINE",
        "middle_name": "LORINE",
        "name_prefix": "Miss",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-19",
        "last_updated": "2022-01-25",
        "certification_date": "2020-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.019529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0199087",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kshoup160425@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "290 E Town St",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432154602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "REDICK",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.