Individual provider Active NPI

Tabatha M Case, RN MSN

  • Gerontology Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1932807013
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN.CNP.0034822 Issued in OH
Practice address
1707 Wyoming Ave
Cincinnati, OH 45205-1106
Phone
(513) 884-2239
NPI assigned
Feb 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN358567 OH
Gerontology Nurse Practitioner 363LG0600X APRN.CNP.0034822 OH Primary

Addresses

Primary practice location

1707 Wyoming Ave
Cincinnati, OH 45205-1106

Mailing address

1707 Wyoming Ave
Cincinnati, OH 45205-1106
Phone (513) 884-2239

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
I20241023001768 OH Practitioner - Nurse Practitioner 9638602196 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN358567OHMDPsychiatric/Mental Health Registered Nurse
APRN.CNP.0034822OHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PA Post Acute Services PC CurrentSince Aug 4, 2024 Accepting new patients
CNP Operating Co LLC CurrentSince Aug 4, 2024 Accepting new patients

Locations

7800 Jandaracres Dr
Cincinnati, OH 45248
Phone (513) 941-0787

8055 Addison Rd
Masury, OH 44438
Phone (330) 448-2547

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1932807013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 WYOMING AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452051106",
            "telephone_number": "513-884-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 WYOMING AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452051106",
            "telephone_number": "513-884-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASE",
        "first_name": "TABATHA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "RN MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-20",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OH",
            "license": "RN358567",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRN.CNP.0034822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.