Individual provider Active NPI

Lenzi Colleen Kiluba, CNP

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1710521612
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.024307 Issued in OH
Practice address
1146 Bank St
Cincinnati, OH 45214-2163
Phone
(513) 562-8841
Fax
(513) 345-1779
NPI assigned
Nov 4, 2019
Last updated
Mar 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 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.024307 OH Primary

Addresses

Primary practice location

1146 Bank St
Cincinnati, OH 45214-2163

Mailing address

2344 Danbury LN
Fort Mitchell, KY 41017-2843
Phone (513) 801-9971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.024307OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent de Paul Charitable Pharmacy - Neyer Outreach Center CurrentSince Apr 10, 2022 Accepting new patients

Locations

1146 Bank St
Cincinnati, OH 45214
Phone (513) 562-8841

Interoperability endpoints

  • Direct secure messaging: lkiluba@tdhafi-oh.direct.office.nextgen.com

Organizations & group practices 1

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": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1710521612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2344 DANBURY LN",
            "city": "FORT MITCHELL",
            "state": "KY",
            "postal_code": "410172843",
            "telephone_number": "513-801-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1146 BANK ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452142163",
            "telephone_number": "513-562-8841",
            "fax_number": "513-345-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILUBA",
        "first_name": "LENZI",
        "middle_name": "COLLEEN",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.024307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.