Individual provider Active NPI

Lizetter Anu

  • Home Health Registered Nurse
  • Columbus, OH
National Provider Identifier
1720695299
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
468486 Issued in OH
Practice address
5733 Millbank Rd Apt B
Columbus, OH 43229-4143
Phone
(614) 446-9896
NPI assigned
Sep 28, 2020
Last updated
Sep 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 468486 OH Primary

Addresses

Primary practice location

5733 Millbank Rd Apt B
Columbus, OH 43229-4143

Mailing address

5733 Millbank Rd Apt B
Columbus, OH 43229-4143
Phone (614) 446-9896

Other identifiers 1

IdentifierTypeStateIssuer
468486OtherOHOHIO BOARD OF NURSING

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

State licenses

LicenseStateTypeSpecialty
468486OHMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1720695299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5733 MILLBANK RD APT B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432294143",
            "telephone_number": "614-446-9896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5733 MILLBANK RD APT B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432294143",
            "telephone_number": "614-446-9896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANU",
        "first_name": "LIZETTER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OH",
            "license": "468486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BOARD OF NURSING",
            "identifier": "468486",
            "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 Sep 28, 2020; 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.