COLUMBUS CONVENIENT CARE CLINIC, LLC
NPI 1629640990
Nurse Practitioner in Columbus, OH

Active since July 15, 2021
2686A CROSSROADS PLAZA DR, COLUMBUS, OH 43219(877) 318-0934(888) 831-0965 Get Directions Write a Review

NPPES record last updated: July 15, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Nurse Practitioner

About COLUMBUS CONVENIENT CARE CLINIC, LLC

This page provides the complete NPI Profile along with additional information for Columbus Convenient Care Clinic, Llc, a provider established in Columbus, Ohio operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1629640990 assigned on July 2021. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Columbus Convenient Care Clinic, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Latonya Carroll Dnp, Aprn, Cnp (Nurse Practitioner)

NPI
1629640990 Verify this NPI
Provider Name
COLUMBUS CONVENIENT CARE CLINIC, LLC
Entity Type
Organization
Location Address
2686A CROSSROADS PLAZA DR COLUMBUS, OH 43219
Location Phone
(877) 318-0934
Location Fax
(888) 831-0965
Mailing Address
2686A CROSSROADS PLAZA DR COLUMBUS, OH 43219
Mailing Phone
(877) 318-0934
Mailing Fax
(888) 831-0965
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-15-2021
Last Update Date
07-15-2021
Code Navigator

A nurse practitioner (NP) like Columbus Convenient Care Clinic, Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

 
2363LP0200XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Pediatrics

 
3363LP0808XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Psychiatric/Mental Health

 
4363LP2300XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Primary Care

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. LATONYA CARROLL DNP, APRN, CNP

Authorized Official Title
NURSE PRACTITIONER
Authorized Official Phone
(877) 318-0934

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629640990, enumerated as an "organization" on July 15, 2021.

The provider is located at 2686A CROSSROADS PLAZA DR COLUMBUS, OH 43219 and the phone number is (877) 318-0934.

Nurse Practitioner with taxonomy code 363L00000X.