Individual provider Active NPI

Lydia Hoffman, CNP

  • Family Nurse Practitioner
  • Worthington, OH
National Provider Identifier
1902155286
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.13623 Issued in OH
Practice address
55 Caren Ave
Suite 170
Worthington, OH 43085-2515
Phone
(614) 846-1527
Fax
(614) 846-1704
NPI assigned
Sep 2, 2012
Last updated
Aug 9, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.13623 OH Primary

Addresses

Primary practice location

55 Caren Ave
Suite 170
Worthington, OH 43085-2515

Mailing address

55 Caren Ave
Suite 170
Worthington, OH 43085-2515
Phone (614) 846-1527

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
I20121011000586 OH Practitioner - Nurse Practitioner 1658520432 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Primary Care Physicians, Inc. Family CurrentSince Sep 4, 2012 Accepting new patients
Emily Program P C CurrentSince Mar 16, 2021 Accepting new patients
Central Ohio Primary Care Physicians, Inc. PastSince Sep 4, 2012 Accepting new patients

Locations

2265 Como Ave
Saint Paul, MN 55108

3401 Enterprise Pkwy
Ste 250
Beachwood, OH 44122
Phone (216) 765-0500

4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665

8001 Ravines Edge Ct
Columbus, OH 43235
Phone (614) 441-5136

8001 Ravines Edge Ct
Ste 201
Columbus, OH 43235
Phone (614) 896-8222

55 Caren Ave
Ste 170
Worthington, OH 43085
Phone (614) 471-6600

Organizations & group practices 3

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": "1346544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1902155286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CAREN AVE",
            "address_2": "SUITE 170",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852515",
            "telephone_number": "614-846-1527",
            "fax_number": "614-846-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CAREN AVE",
            "address_2": "SUITE 170",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852515",
            "telephone_number": "614-846-1527",
            "fax_number": "614-846-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "LYDIA",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-02",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.13623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

Verify at the official NPI Registry.