Provider Demographics
NPI:1811338999
Name:OGLEHART, JOSHUA J (APRN)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:J
Last Name:OGLEHART
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:JOSHUA
Other - Middle Name:JAMES
Other - Last Name:OGLEHART
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN-CNP
Mailing Address - Street 1:311 MARTIN LUTHER KING DR E
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-2581
Mailing Address - Country:US
Mailing Address - Phone:513-475-5300
Mailing Address - Fax:859-655-6148
Practice Address - Street 1:311 MARTIN LUTHER KING DR E
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-2581
Practice Address - Country:US
Practice Address - Phone:513-475-5300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-17
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.024624363LP0808X
KY3012325363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHAPRN.CNP.024624OtherAPRN
AL1-124320OtherALABAMA STATE LICENSE
OHRN.461678OtherRN
4872OtherABSNC - CERTIFIED ADDICTIONS REGISTERED NURSE-ADAVANCE PRACTICE
KY7100532720Medicaid
2013009198OtherANCC PSYCH. CERTFICIATION
KY3012325OtherKENTUCKY STATE LICENSE