Active NPI
Custom Care NP Services
- Family Nurse Practitioner
- Delaware, OH
National Provider Identifier
1770857138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- COA.07465-NP
- Legal business name
- CUSTOM CARE NP SERVICES
- Practice address
- 513 Birchard Ave
Delaware, OH 43015-1103 - Phone
- (740) 272-7150
- Fax
- (740) 362-2524
- NPI assigned
- Mar 2, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heather Lynne Howard, CNP
- Title
- Owner
- Phone
- (740) 272-7150
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 | COA.07465-NP | OH | Primary |
Addresses
Primary practice location
513 Birchard Ave
Delaware, OH 43015-1103
Mailing address
513 Birchard Ave
Delaware, OH 43015-1103
Phone (740) 272-7150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2270 Warrensburg Rd
Delaware, OH 43015
Phone (740) 272-7150
400 Barks Rd W
Marion, OH 43302
Phone (740) 387-1225
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Delaware, OH
- NPI 1285603407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330646400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1413417600000",
"number": "1770857138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "513 BIRCHARD AVE",
"city": "DELAWARE",
"state": "OH",
"postal_code": "430151103",
"telephone_number": "740-272-7150",
"fax_number": "740-362-2524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "513 BIRCHARD AVE",
"city": "DELAWARE",
"state": "OH",
"postal_code": "430151103",
"telephone_number": "740-272-7150",
"fax_number": "740-362-2524"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUSTOM CARE NP SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-02",
"last_updated": "2014-10-16",
"status": "A",
"authorized_official_last_name": "HOWARD",
"authorized_official_first_name": "HEATHER",
"authorized_official_middle_name": "LYNNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "740-272-7150",
"authorized_official_credential": "CNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA.07465-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delaware, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.