Individual provider Active NPI

Lori A Timberlake, APRN,BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1831258383
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP09196 Issued in OH
Practice address
3025 W Broad St
Columbus, OH 43204-2653
Phone
(614) 334-6903
NPI assigned
Dec 8, 2006
Last updated
Mar 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP 09196 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP09196 OH Primary
Psychiatry Physician 2084P0800X 09196 OH

Addresses

Primary practice location

3025 W Broad St
Columbus, OH 43204-2653

Mailing address

140 E Town St Ste 1450
Columbus, OH 43215-6601
Phone (614) 334-6903

Other practice location 1

3200 Johnson Rd
Steubenville, OH 43952-2363
Phone (740) 264-7751 ext. 238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.44 of 100Reported as group
Quality
75.57
Promoting interoperability
79
Improvement activities
40
Cost
73.41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
09196OHMDPsychiatry Physician
NP 09196OHMDFamily Nurse Practitioner
NP09196OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Village Network CurrentSince Apr 1, 2019 Accepting new patients

Locations

67925 Bayberry Dr
#A
Saint Clairsville, OH 43950
Phone (740) 256-0204

2000 Noble Dr
Wooster, OH 44691
Phone (330) 439-8492

3011 Akron Rd
Wooster, OH 44691
Phone (330) 202-3809

Interoperability endpoints

  • Direct secure messaging: ltimberlake2470136@direct.trinity-health.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1831258383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 E TOWN ST STE 1450",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432156601",
            "telephone_number": "614-334-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432042653",
            "telephone_number": "614-334-6903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 Johnson Rd",
            "address_purpose": "LOCATION",
            "city": "Steubenville",
            "state": "OH",
            "postal_code": "439522363",
            "country_code": "US",
            "telephone_number": "740-264-7751 x238",
            "fax_number": "740-264-2422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIMBERLAKE",
        "first_name": "LORI",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "APRN,BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP 09196",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "NP09196",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "09196",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.