Mobile NP LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MOBILE NP LLC

Practice address

9996 Baughman Rd
Harrison, OH 45030-1714

Phone

(513) 560-2904

Fax

(855) 483-9360

NPI assigned

Jun 10, 2021

Organization subpart

No

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

Authorized official

Name

Shannon Caruso, NP

Title

Owner

Phone

(513) 560-2904

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1821665423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9996 BAUGHMAN RD",
            "city": "HARRISON",
            "state": "OH",
            "postal_code": "450301714",
            "telephone_number": "513-560-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9996 BAUGHMAN RD",
            "city": "HARRISON",
            "state": "OH",
            "postal_code": "450301714",
            "telephone_number": "513-560-2904",
            "fax_number": "855-483-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE NP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-10",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "CARUSO",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-560-2904",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366070278",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "1-855-483-9360",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9996 Baughman Rd",
            "city": "Harrison",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450301714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary A Meyer, RPH
• Michael F. Ringel, O.D., Inc.
• Kaitlyn Michelle Milesky, RD, LD
• Jeffrey Austin Miller, DDS
• Jeffrey S Miller, DDS
• Justin Robert Mohr
• Marcy Mullins
• Neighborhood Health Care, Inc.
• Neighborhood Health Care, Inc.
• Robert R Nestheide, PH.D.

• Primary Care Clinic/Center in Harrison, OH
• Providers in Harrison, OH by specialty
• Primary Care Clinic/Center in Ohio

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