Active NPI
Lori A Timberlake, APRN,BC
- Psychiatric/Mental Health Nurse Practitioner
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- NP09196
- Practice address
- 3025 W Broad St
Columbus, OH 43204-2653 - Phone
- (614) 334-6903
- NPI assigned
- Dec 8, 2006
- Last updated
- Mar 5, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 79.44 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 09196 | OH | MD | Psychiatry Physician |
| NP 09196 | OH | MD | Family Nurse Practitioner |
| NP09196 | OH | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Network | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.