Organization Active NPI

Tri-State Lymphedema Clinic

  • Registered Nurse
  • Cincinnati, OH
National Provider Identifier
1912973553
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
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

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Deborah A Rauh, RNNPI 1578539110
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)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00000016815OtherOHBC/BS

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.