Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

THERESA A BACK CNP
NPI 1336130277
Nurse Practitioner in Columbus, OH

Q: What is Theresa Back's NPI number?

The NPI number for Theresa Back is 1336130277. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Q: What is Theresa Back's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Theresa Back was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 31, 2005

1299 OLENTANGY RIVER RD, COLUMBUS, OH 43212(614) 566-4710(614) 566-6846 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Theresa A Back Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESA A BACK CNP (NPI 1336130277) is an individual nurse practitioner in Columbus, Ohio, licensed in Ohio (NP08235) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1336130277

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameTHERESA A BACKCredential: CNP

Location Address1299 OLENTANGY RIVER RDColumbus, OH 43212-3135

Mailing Address1299 Olentangy River Rd, Ste 103Columbus, OH 43212-3135 · (614) 566-4278 · Fax (614) 566-5424

Phone(614) 566-4710

Fax(614) 566-6846

Sole ProprietorNo

Enumeration DateOctober 31, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1336130277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in OH · NP08235

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1299 OLENTANGY RIVER RD, Columbus, OH 43212

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