Anta Fall Sow, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

COA.11568-NP Issued in OH

Practice address

6631 Bricegrove Blvd
Canal Winchester, OH 43110-8306

Phone

(614) 307-0368

NPI assigned

Jul 9, 2010

Reactivated

Aug 15, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Little Clinic of Ohio LLC

  • Family Nurse Practitioner
  • Cincinnati, OH
  • NPI 1982761896
  Medicare reassignment NPD
• Evergreen Supported Living, LLC

  • In Home Supportive Care Agency
  • Whitehall, OH
  • NPI 1235580820
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1003128786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6631 BRICEGROVE BLVD",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431108306",
            "telephone_number": "614-307-0368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6631 BRICEGROVE BLVD",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431108306",
            "telephone_number": "614-307-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOW",
        "first_name": "ANTA",
        "middle_name": "FALL",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-09",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "deactivation_date": "2022-11-18",
        "reactivation_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.11568-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Medese Sokenu
• Bianca Josefina Solano, RBT
• Summelong Stanley Sone, RN
• Southern Gryls Medical Transportation
• Southern Touch Home Care Services LLC
• Teresa Lynn Spirnak, LPN
• Corey V Stacy, AT, ATC
• Standard Care Supported Living, LLC
• Stansteph Transportation LLC
• Step Lively Foot and Ankle Centers

• Family Nurse Practitioner in Canal Winchester, OH
• Providers in Canal Winchester, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.