MEDICARE: MRS. LOVETH N UBADINEKE MSN, APRN, PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN.CNP.0042273	OH

General Provider Information

NPI Number	:	1598690489
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LOVETH N UBADINEKE MSN, APRN, PMHNP-BC

Provider Business Mailing Address
First Line	:	2323 LAKE CLUB DR STE 304A
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-3198
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2323 LAKE CLUB DR STE 304A
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-3198
Country	:	US
Telephone Number	:	380-263-8001
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2026
Last Update Date	:	06/15/2026

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