NATALIE JANE CUSTIS (NPI# 1922443175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922443175 |
| Entity Type | Individual |
| Full Name | NATALIE JANE CUSTIS |
| Credential | MS, CNP |
| Practice Address |
505 King Ave Columbus OH 43201-2696 |
| Mailing Address |
505 King Avene Columbus OH 43201-2696 |
| Practice Telephone | 6144243219 |
| Practice Fax Number | 6144244401 |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2013-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
COA.12887-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
505 KING AVE |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43201-2696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003938580 | John V. Gaeuman | Internal Medicine | 505 King Ave, Columbus, OH 43201-2696 | 2007-04-04 |
| 1245840222 | Staci Brewer | Family Medicine | 505 King Ave, Columbus, OH 43201-2696 | 2020-08-05 |
| 1588139356 | Lindsay Sullivan | Nurse Practitioner | 505 King Ave, Columbus, OH 43201-2696 | 2018-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629618814 | Chequtra Dauer May | Licensed Practical Nurse | 819 Leona Ave, Columbus, OH 43201 | 2020-01-15 |
| 1528551769 | Amelia Carpenter | Physical Therapist | 1433 Neil Ave Apt B, Columbus, OH 43201 | 2018-06-12 |
| 1962901942 | Makoto Asahara | Counselor | 1301 N High Street, Columbus, OH 43201 | 2018-02-06 |
| 1740739366 | Nicholas Baggett | Nurse Practitioner | 1301 North High Street, North Central Mental Health Services, Columbus, OH 43201 | 2016-09-23 |
| 1679930259 | Morgan Staten | Specialist/Technologist | 1620 N 4th St, Columbus, OH 43201 | 2016-01-27 |
| 1376976050 | Robert William Sweeney Jr. | Specialist/Technologist | 535 Irving Schottenstein Drive, Woody Hayes Athletic Center, Columbus, OH 43201 | 2013-08-16 |
| 1447453428 | Mary Anne Brown | Home Health Aide | 144 E. Woodruff Ave., Apt. J, Columbus, OH 43201 | 2007-06-07 |
| 1962623405 | Rachel Marie Mautz | Student in an Organized Health Care Education/Training Program | 150 W 10th Avenue, Columbus, OH 43201 | 2007-05-01 |
| 1649390964 | Richard Andrew Mitsak | Psychiatry & Neurology | 1640 Neil Ave, Room 438, Columbus, OH 43201 | 2007-03-30 |
| 1700925419 | Jeffrey Smith | Preventive Medicine | 505 King Avenue, Columbus, OH 43201 | 2007-02-06 |
| Find all providers in zip 43201 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891394235 | Lisa Ann Popovich | Nurse Practitioner | 3703 Canon Ridge Pl, Columbus, OH 43230-4010 | 2020-10-17 |
| 1548812159 | Holly Penix | Nurse Practitioner | 223 Bluewing Ct, Columbus, OH 43235-1490 | 2019-07-13 |
| 1558840496 | Sheila Parker Strickland | Nurse Practitioner | 7413 Whitesville Rd Ste 700, Columbus, GA 31904-3230 | 2018-08-11 |
| 1669992822 | Susan Lee Mcfall | Nurse Practitioner | 1258 Grandview Ave Ste A, Columbus, OH 43212-3469 | 2017-06-20 |
| 1750833232 | Carrie Leigh Whitehead | Nurse Practitioner | 6228 Bradley Park Dr. Suite A, Columbus, GA 31904 | 2016-10-31 |
| 1285095802 | Laura Aumiller | Nurse Practitioner | 842 Grandview Ave, Columbus, OH 43215-1124 | 2016-03-09 |
| 1457741498 | Roshann Palmer | Nurse Practitioner | 5151 Reed Rd Ste 205, Columbus, OH 43220-2553 | 2015-01-29 |
| 1548650617 | Katherine Marie Wallace | Nurse Practitioner | 118 Enterprise Ct Ste B, Columbus, GA 31904-9228 | 2015-01-28 |
| 1144637299 | Jody Anne Howell | Nurse Practitioner | 1391 W 5th Ave, Suite 260, Columbus, OH 43212-2902 | 2014-07-21 |
| 1538589536 | Courtney Dubois Shihabuddin | Nurse Practitioner | 750 E Long St Ste 3000, Columbus, OH 43203-1874 | 2014-04-17 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.