Active NPI
Tri-State Lymphedema Clinic
- Registered Nurse
- Cincinnati, OH
National Provider Identifier
1912973553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- Legal business name
- TRI-STATE LYMPHEDEMA CLINIC
- Practice address
- 10724 Reading Rd
Cincinnati, OH 45241-2529 - Phone
- (513) 721-3504
- Fax
- (513) 793-1748
- NPI assigned
- Feb 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deborah A Rauh, RN
- Title
- President
- Phone
- (513) 793-7710
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | Primary |
Addresses
Primary practice location
10724 Reading Rd
Cincinnati, OH 45241-2529
Mailing address
10724 Reading Rd
Cincinnati, OH 45241-2529
Phone (513) 721-3504
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000016815 | Other | OH | BC/BS |
National Provider Directory
National Provider DirectoryLocations
10724 Reading Rd
Cincinnati, OH 45241
Phone (513) 793-7710
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- Cincinnati, OH
- NPI 1578539110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1912973553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10724 READING RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452412529",
"telephone_number": "513-721-3504",
"fax_number": "513-793-1748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10724 READING RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452412529",
"telephone_number": "513-721-3504",
"fax_number": "513-793-1748"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI-STATE LYMPHEDEMA CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RAUH",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "513-793-7710",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "00000016815",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
- Tri-State Centers for Sight, Inc.
- Tri-State Clinical Laboratory Services, LLC
- Tri-State Compounding Pharmacy LLC
- Tri-State Hearing Associates Inc
- Tri-State Hospitalists LLC
- Tri-State Neuropathy Center LLC
- Tri-State Orthopedic Products Inc
- Tri-State Pain Management Service Inc
- Tri-State Pain Management Service Inc
- Tri-State Pain Management Service Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.