Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

John Boudouris, CNP

Individual provider Nurse Practitioner · NPI 1861039430

John Boudouris, CNP is a Nurse Practitioner in Columbus, Ohio. Qualified in 2020, 6 years ago. Practices with Lower Lights Christian Health Center Inc, a 27-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
6
Licensed in
OH
In the registry since
2019
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

1560 S High St
Columbus, OH 43207-1803
Phone: (614) 274-1455
Fax: (614) 274-1433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2028 Cleveland Ave, Columbus, OH 43211-2214 — (614) 274-1455
  • 1160 W Broad St, Columbus, OH 43222-1352 — (614) 274-1455

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN.CNP.0027959 (OH)
Registered Nurse Taxonomy 163W00000X · Licence RN.461770 (OH)

Record details

NPI number1861039430
Entity typeIndividual (Type 1)
GenderMale
Credentials CNP
Sole proprietorNo
NPI enumeratedDecember 3, 2019
Last updated in NPPESNovember 1, 2023
Certification dateNovember 1, 2023
Mailing address1160 W Broad St, Columbus, OH 43222-1352

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Lower Lights Christian Health Center Inc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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