Nicole Grove LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

NICOLE GROVE LLC

Practice address

1664 Longbow Lane
Unit E
West Carrollton, OH 45449

Phone

(937) 301-6463

Fax

(855) 953-3569

NPI assigned

Apr 30, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Nicole Marie Grove, FNP-LNPI 1578973038

Title

Owner

Phone

(937) 573-7452

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Grove, FNP-C

  • Family Nurse Practitioner
  • Moraine, OH
  • NPI 1578973038
  Medicare reassignment Care Compare group NPD Authorized official
• Megan Lash, FNP-C

  • Family Nurse Practitioner
  • Union, OH
  • NPI 1730638370
  Medicare reassignment Care Compare group NPD
• Angel May Renfro, APRN A-GNP-C

  • Nurse Practitioner
  • Trotwood, OH
  • NPI 1487431623
  Medicare reassignment NPD

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1851701700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1664 LONGBOW LANE",
            "address_2": "UNIT E",
            "city": "WEST CARROLLTON",
            "state": "OH",
            "postal_code": "45449",
            "telephone_number": "937-301-6463",
            "fax_number": "855-953-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664 LONGBOW LANE",
            "address_2": "UNIT E",
            "city": "WEST CARROLLTON",
            "state": "OH",
            "postal_code": "45449",
            "telephone_number": "937-301-6463",
            "fax_number": "855-953-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE GROVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-30",
        "last_updated": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "GROVE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-573-7452",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP-L"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0105016",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Newman
• January Lee Newport, LSW, LICDC
• Adama N/a Ngaide I
• Akembom Emmanuel Ngeh
• Nancy Nguyen
• Diana Ronesa North
• Ladeya Lynn North, LPN
• Alexis Olvera
• Elizabeth Ortega
• Alexis Ostrander

• Nurse Practitioner in West Carrollton, OH
• Providers in West Carrollton, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.

Verify at the official NPI Registry.