Individual provider Active NPI

Lori Jean Grenich, MS, MSN, RN, CNP

  • Adult Health Nurse Practitioner
  • Columbiana, OH
National Provider Identifier
1871586040
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
03474NP Issued in OH
Practice address
107 Royal Birkdale Dr Ste a
Columbiana, OH 44408
Phone
(330) 482-9350
Fax
(339) 472-2336
NPI assigned
Aug 23, 2005
Last updated
Aug 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 03474NP OH Primary

Addresses

Primary practice location

107 Royal Birkdale Dr Ste a
Columbiana, OH 44408

Mailing address

9471 Market St
Suite B
North Lima, OH 44452-8702
Phone (330) 729-2388

Other identifiers 1

IdentifierTypeStateIssuer
2374121MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061211000504 OH Practitioner - Nurse Practitioner 9537168034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh-Oh Physicians Group PCGroup PAC ID 1759639693, 67 clinicians

Practice addresses (Care Compare)

3551 Belmont Ave
Suite 19B
Youngstown, OH 44505-1439
Phone (330) 752-4825

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
03474NPOHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osh-Oh Physicians Group PC CurrentSince Aug 2, 2021 Accepting new patients
Triad Health Services, LLC PastSince Dec 1, 2022 Accepting new patients

Locations

10553 Saint Clair Ave
Cleveland, OH 44108
Phone (216) 682-7702

3551 Belmont Ave
Ste 19B
Youngstown, OH 44505
Phone (330) 222-4030

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1871586040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9471 MARKET ST",
            "address_2": "SUITE B",
            "city": "NORTH LIMA",
            "state": "OH",
            "postal_code": "444528702",
            "telephone_number": "330-729-2388",
            "fax_number": "330-629-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 ROYAL BIRKDALE DR STE A",
            "city": "COLUMBIANA",
            "state": "OH",
            "postal_code": "44408",
            "telephone_number": "330-482-9350",
            "fax_number": "339-472-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRENICH",
        "first_name": "LORI",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "MS, MSN, RN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-23",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "03474NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2374121",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbiana, OH

Sources for this page

Verify at the official NPI Registry.