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

Lacey Leann Takhtay, APRN-CNP

Individual provider Family Nurse Practitioner · NPI 1083258966

Lacey Leann Takhtay, APRN-CNP is a Nurse Practitioner in Gahanna, Ohio. Qualified in 2019, 7 years ago. Practices with Central Ohio Urology Group, LLC, a 47-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Ohio.

Years since qualifying
7
Licensed in
AZ, OH
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

701 Tech Center Dr
Gahanna, OH 43230-3940
Phone: (614) 396-2684
Fax: (614) 396-2480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 701 Tech Center Dr Ste 120, Gahanna, OH 43230-3942 — (614) 396-2684

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN.CNP.0032631 (OH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN.CNP.0032631 (OH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 232202 (AZ)

Record details

NPI number1083258966
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedNovember 4, 2019
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Central Ohio Urology Group, Llc. — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Gahanna