Active NPI
Kettering Health Lebanon Health Center
- Family Nurse Practitioner
- Lebanon, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- KETTERING HEALTH LEBANON HEALTH CENTER
- Practice address
- 1470 N Broadway St Ste 130
Lebanon, OH 45036-1762 - Phone
- (513) 696-1280
- NPI assigned
- Sep 19, 2025
- Last updated
- Sep 19, 2025
- Organization subpart
- Yes
- Parent organization
- KETTERING HEALTH NETWORK
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrea Smith
- Title
- App
- Phone
- (513) 939-8018
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
1470 N Broadway St Ste 130
Lebanon, OH 45036-1762
Mailing address
1470 N Broadway St Ste 130
Lebanon, OH 45036-1762
Phone (513) 696-1280
National Provider Directory
National Provider Directory- Part of
- Kettering Health Lebanon Health Center
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- General Acute Care Hospital
- Kettering, OH
- NPI 1356669840
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Lebanon, OH
- NPI 1457223430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758240000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758240000000",
"number": "1740152735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1470 N BROADWAY ST STE 130",
"city": "LEBANON",
"state": "OH",
"postal_code": "450361762",
"telephone_number": "513-696-1280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1470 N BROADWAY ST STE 130",
"city": "LEBANON",
"state": "OH",
"postal_code": "450361762",
"telephone_number": "513-696-1280"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KETTERING HEALTH LEBANON HEALTH CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KETTERING HEALTH NETWORK",
"enumeration_date": "2025-09-19",
"last_updated": "2025-09-19",
"certification_date": "2025-09-19",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "ANDREA",
"authorized_official_title_or_position": "APP",
"authorized_official_telephone_number": "513-939-8018"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.