Individual provider Active NPI

Mary Frances Pelphrey, APRN

  • Primary Care Nurse Practitioner
  • Upper Arlington, OH
National Provider Identifier
1730833930
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN.CNP.0030694 Issued in OH
Practice address
5005 Arlington Centre Blvd
Upper Arlington, OH 43220-2912
Phone
(614) 636-4965
NPI assigned
Feb 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 271819 AZ
Primary Care Nurse Practitioner 363LP2300X APRN.CNP.0030694 OH Primary

Addresses

Primary practice location

5005 Arlington Centre Blvd
Upper Arlington, OH 43220-2912

Mailing address

5005 Arlington Centre Blvd
Upper Arlington, OH 43220-2912
Phone (614) 636-4965

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0030694OHMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1730833930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 ARLINGTON CENTRE BLVD",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432202912",
            "telephone_number": "614-636-4965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 ARLINGTON CENTRE BLVD",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432202912",
            "telephone_number": "614-636-4965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELPHREY",
        "first_name": "MARY",
        "middle_name": "FRANCES",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-07",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "271819",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "APRN.CNP.0030694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Arlington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.