Active NPI
Jessica M Lauderman, MSN, FNP-C
- Nurse Practitioner
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN.CNP.026631
- Practice address
- 3333 Burnet Ave, ML 5021
Cincinnati, OH 45229-3039 - Phone
- (513) 636-4611
- NPI assigned
- Feb 2, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.026631 | OH | |
| Nurse Practitioner | 363L00000X | APRN.CNP.026631 | OH | Primary |
Addresses
Primary practice location
3333 Burnet Ave, ML 5021
Cincinnati, OH 45229-3039
Mailing address
3333 Burnet Ave, ML 2023
Cincinnati, OH 45229-3026
Phone (513) 636-4371
Other practice location 1
560 Wessel Dr
Fairfield, OH 45014-3776
Phone (513) 858-8200
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210209002852 | OH | Practitioner - Nurse Practitioner | 8325453103 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Children'S Hospital Medical Center
Practice addresses (Care Compare)
3333 Burnet Ave
Cincinnati, OH 45229-3026
Phone (513) 636-4200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.026631 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Little Clinic of Ohio LLC | Family | Current | Accepting new patients |
| Children'S Hospital Medical Center | Nurse Practitioner | Current | Accepting new patients |
Locations
3341 Solutions Ctr
Chicago, IL 60677
4315 Ivy Pointe Blvd
Cincinnati, OH 45245
Phone (513) 636-0030
3333 Burnet Ave
#5021
Cincinnati, OH 45229
Phone (513) 636-4225
3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200
7580 Beechmont Ave
Cincinnati, OH 45255
Phone (513) 233-4420
3333 Burnet Ave
#2023
Cincinnati, OH 45229
Phone (513) 636-4200
199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814
560 Wessel Dr
Fairfield, OH 45014
Phone (513) 454-2084
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Cincinnati, OH
- NPI 1609915784
Nurse Practitioner, OH
-
- Durable Medical Equipment & Medical Supplies
- Cincinnati, OH
- NPI 1366580391
-
- Home Health Agency
- Cincinnati, OH
- NPI 1508904400
-
- Children's Hospital
- Cincinnati, OH
- NPI 1548212988
-
- Home Infusion Therapy Pharmacy
- Cincinnati, OH
- NPI 1629116645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662249600000",
"number": "1891386751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 BURNET AVE, ML 2023",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293026",
"telephone_number": "513-636-4371",
"fax_number": "513-636-7657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 BURNET AVE, ML 5021",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293039",
"telephone_number": "513-636-4611"
}
],
"practiceLocations": [
{
"address_1": "560 Wessel Dr",
"address_purpose": "LOCATION",
"city": "Fairfield",
"state": "OH",
"postal_code": "450143776",
"country_code": "US",
"telephone_number": "513-858-8200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAUDERMAN",
"first_name": "JESSICA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "MSN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-02",
"last_updated": "2022-09-04",
"certification_date": "2022-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.026631",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "APRN.CNP.026631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2022; 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.