Active NPI
Nabhco, LLC
Doing business as Nabhco
- Addiction Medicine (Family Medicine) Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- Legal business name
- NABHCO, LLC
- Doing business as
- Nabhco
- Practice address
- 2686 Crossroads Plaza Dr.
Columbus, OH 43219-3442 - Phone
- (877) 318-0934
- Fax
- (888) 831-0965
- NPI assigned
- Dec 25, 2019
- Last updated
- Jun 5, 2024
- 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
- Dr. Latonya Janett Carroll, DNP, APRN.CNP
- Title
- Owner
- Phone
- (877) 318-0934
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | Primary | ||
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | |||
| Psychiatry Physician | 2084P0800X | |||
| Addiction Psychiatry Physician | 2084P0802X | |||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
2686 Crossroads Plaza Dr.
Columbus, OH 43219-3442
Mailing address
1391 W 5TH Ave # 241
Columbus, OH 43212-2902
Phone (877) 318-0934
Other practice location 1
655 N Cassady Ave Ste 7
Columbus, OH 43219-2720
Phone (614) 569-8940
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0391040 | Medicaid | OH |
Other names 1
- NABHCO
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2177275 | Nabhco | Certificate of waiver | Jan 7, 2028 |
National Provider Directory
National Provider DirectoryLocations
9 Union Sq
#1115
Southbury, CT 06488
655 N Cassady Ave
Ste 7
Columbus, OH 43219
Phone (614) 569-8940
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Columbus, OH
- NPI 1700056033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717545600000",
"number": "1952940835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1391 W 5TH AVE # 241",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432122902",
"telephone_number": "877-318-0934",
"fax_number": "888-831-0965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2686 CROSSROADS PLAZA DR.",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432193442",
"telephone_number": "877-318-0934",
"fax_number": "888-831-0965"
}
],
"practiceLocations": [
{
"address_1": "655 N Cassady Ave Ste 7",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432192720",
"country_code": "US",
"telephone_number": "614-569-8940",
"fax_number": "614-375-4130",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NABHCO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-25",
"last_updated": "2024-06-05",
"certification_date": "2024-06-05",
"status": "A",
"authorized_official_last_name": "CARROLL",
"authorized_official_first_name": "LATONYA",
"authorized_official_middle_name": "JANETT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "877-318-0934",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DNP, APRN.CNP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084A0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0802X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0391040",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NABHCO",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.