JORDAN MACKENZIE BOMPREZZI (NPI# 1942719307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942719307 |
| Entity Type | Individual |
| Full Name | JORDAN MACKENZIE BOMPREZZI |
| Credential | FNP-C |
| Practice Address |
2575 W Broad St Columbus OH 43204-3333 |
| Practice Telephone | 6142789666 |
| Mailing Telephone | 6142789666 |
| Mailing Fax Number | 6142782385 |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2017-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.021476 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2575 W BROAD ST |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43204-3333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578599171 | Buckeye Family Medicine Inc | Family Medicine | 2575 W Broad St, Columbus, OH 43204-3333 | 2006-06-24 |
| 1992304364 | Samuel Dwomoh | Pharmacist | 2575 W Broad St, Columbus, OH 43204-3333 | 2020-10-18 |
| 1730796129 | Five Points Recovery LLC | Community/Behavioral Health | 2575 W Broad St, Columbus, OH 43204-3333 | 2020-09-29 |
| 1730792524 | Five Points Recovery LLC | Clinic/Center | 2575 W Broad St, Columbus, OH 43204-3333 | 2020-08-31 |
| 1821629932 | Doctors Pharmacy Hilltop LLC | Pharmacy | 2575 W Broad St, Columbus, OH 43204-3333 | 2020-01-28 |
| 1376960096 | Buckeye Family Physicians | Clinic/Center | 2575 W Broad St, Columbus, OH 43204-3333 | 2014-03-19 |
| 1578905147 | Maple Leaf Compounding Pharmacy | Pharmacy | 2575 W Broad St, Columbus, OH 43204-3333 | 2013-07-24 |
| 1780961441 | Maple Leaf Hilltop Pharmacy | Pharmacy | 2575 W Broad St, Columbus, OH 43204-3333 | 2011-11-09 |
| 1033303110 | Bridget Marie Lloyd | Pharmacist | 2575 W Broad St, Columbus, OH 43204-3333 | 2007-08-31 |
| 1669550174 | West Broad Med Phcy Inc | Pharmacy | 2575 W Broad St, Columbus, OH 43204-3333 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215593587 | Raymond Jay Ellis | Technician | 2455 Sullivant Ave, Columbus, OH 43204 | 2019-05-13 |
| 1245791581 | Dedicated Columbus Ohio, LLC | Non-Pharmacy Dispensing Site | 50 North Wilson Road, Columbus, OH 43204 | 2019-03-28 |
| 1770076192 | Morgan Elizabeth Garczyk | Optometrist | 2300 W Broad St Fl 2, Columbus, OH 43204 | 2018-06-11 |
| 1093240731 | Jerusha R Mcclendon | Social Worker | 3188 Mary Ave, Columbus, OH 43204 | 2017-05-01 |
| 1790235588 | American Senior Care Center LLC | Home Health | 3105 W Broad Street, Suite 2, Columbus, OH 43204 | 2016-10-05 |
| 1184082083 | Jordan Fontes | Nurse Practitioner | 2800 West Broad St, Columbus, OH 43204 | 2016-02-05 |
| 1073971248 | John R Sadaghiani | Dentist | 45 N. Wilson Rd, Columbus, OH 43204 | 2016-02-03 |
| 1245615806 | Brittany Muse | Occupational Therapist | 3615 Graybeck Drive, Columbus, OH 43204 | 2015-07-24 |
| 1528453842 | Sadaf Khan | Internal Medicine | 50 N Wilson Road, Columbus, OH 43204 | 2015-04-02 |
| 1053722629 | Kristen Basch | Pharmacist | 4248 Ongaro Dr, Columbus, OH 43204 | 2014-05-16 |
| Find all providers in zip 43204 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566900 | Melissa Nameth | Nurse Practitioner | 3003 Cortona Rd, Columbus, OH 43204-4898 | 2020-10-18 |
| 1962019901 | Joshua Peltier | Nurse Practitioner | 2657 Summit St, Columbus, OH 43202-2434 | 2020-09-24 |
| 1891302949 | Lindsay Baughman | Nurse Practitioner | 5866 Regency Dr, Columbus, IN 47203-4551 | 2020-09-23 |
| 1114530706 | Renee Dawn Holloway-vaughan | Nurse Practitioner | 1317 Antietam Dr, Columbus, GA 31907-6887 | 2020-08-25 |
| 1063024354 | Nathaniel Z Raidel | Nurse Practitioner | 5699 Sandalwood Blvd, Columbus, OH 43229-3420 | 2020-08-19 |
| 1174134332 | Hailey Lyn Holman | Nurse Practitioner | 5141 W Broad St Ste 130, Columbus, OH 43228-1984 | 2020-08-12 |
| 1508475989 | Kara Shroff | Nurse Practitioner | 1127 Dublin Rd, Columbus, OH 43215-1005 | 2020-07-30 |
| 1265050553 | Mary Hoobler | Nurse Practitioner | 5059 N High St, Columbus, OH 43214-1589 | 2020-07-13 |
| 1417575200 | Candice Kilbarger | Nurse Practitioner | 2329 Keep Pl, Columbus, OH 43204-4989 | 2020-07-08 |
| 1295351872 | Christina Cotterman | Nurse Practitioner | 700 Children Dr, Columbus, OH 43205 | 2020-06-19 |
| 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.