Active NPI
Natalie Jane Custis, MS, CNP
- Adult Health Nurse Practitioner
- Columbus, OH
National Provider Identifier
1922443175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- COA.12887-NP
- Practice address
- 505 King Ave
Columbus, OH 43201-2696 - Phone
- (614) 424-3219
- Fax
- (614) 424-4401
- NPI assigned
- May 1, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | COA.12887-NP | OH | Primary |
Addresses
Primary practice location
505 King Ave
Columbus, OH 43201-2696
Mailing address
505 King Avene
Columbus, OH 43201-2696
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Nurse Practitioner, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.12887-NP | OH | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Battelle Memorial Institute | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Health Service Clinic/Center
- West Jefferson, OH
- NPI 1356741839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367366400000",
"number": "1922443175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 KING AVENE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432012696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 KING AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432012696",
"telephone_number": "614-424-3219",
"fax_number": "614-424-4401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUSTIS",
"first_name": "NATALIE",
"middle_name": "JANE",
"credential": "MS, CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-01",
"last_updated": "2013-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OH",
"license": "COA.12887-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.