Active NPI
Amy E Fathman, CFNP
- Nurse Practitioner
- Westerville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3003600
- Practice address
- 400 Altair Pkwy Ste 3100
Westerville, OH 43082-7653 - Phone
- (614) 360-9995
- Fax
- (844) 571-1777
- NPI assigned
- Jul 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3003600 | KY | Primary |
Addresses
Primary practice location
400 Altair Pkwy Ste 3100
Westerville, OH 43082-7653
Mailing address
9855 Washington Trace Rd
California, KY 41007-8507
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 Grand Ave
Newport, KY 41071-2570
Phone (859) 301-5901
Hospital & facility affiliations
- St Elizabeth Edgewood
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3003600 | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Cincinnati | Current | Accepting new patients | |
| City of Cincinnati | Current | Accepting new patients | |
| Summit Medical Group, Inc | Nurse Practitioner | Current | Accepting new patients |
| City of Cincinnati | Current | Accepting new patients | |
| Summit Medical Group, Inc. | Current | Accepting new patients | |
| Femm Foundation | Past | Accepting new patients | |
| City of Cincinnati | Past | Accepting new patients |
Locations
300 Commercial Dr
Alexandria, KY 41001
Phone (859) 344-5481
405 Violet Rd
Crittenden, KY 41030
Phone (859) 428-1610
100 Blackburn Ln
Dry Ridge, KY 41035
Phone (859) 823-5441
19 S Main St
Dry Ridge, KY 41035
Phone (606) 824-7111
900 Medical Village Dr
Edgewood, KY 41017
Phone (859) 344-5501
830 Thomas More Pkwy
Fort Mitchell, KY 41017
Phone (859) 301-8686
20 N Grand Ave
Ste 3
Fort Thomas, KY 41075
Phone (606) 781-8000
2626 Alexandria Pike
Highland Heights, KY 41076
Phone (859) 757-0434
135 Courthouse Xing
Independence, KY 41051
Phone (859) 301-0990
1400 Grand Ave
Newport, KY 41071
Phone (859) 905-3070
5522 Taylor Mill Rd
Taylor Mill, KY 41015
Phone (606) 491-2855
300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217
2520 Madison Rd
Cincinnati, OH 45208
Phone (513) 363-9110
2030 Fairfax Ave
Cincinnati, OH 45207
Phone (513) 363-7800
1930 Fricke Rd
Cincinnati, OH 45225
Phone (513) 357-7208
1702 Grand Ave
Cincinnati, OH 45214
Phone (513) 363-4600
2411 Baltimore Ave
Cincinnati, OH 45225
Phone (513) 357-7208
3101 Burnet Ave
Ofc
Cincinnati, OH 45229
2121 Hatmaker St
Cincinnati, OH 45204
Phone (513) 363-0000
2136 W 8th St
Cincinnati, OH 45204
Phone (513) 357-2700
2146 Ferguson Rd
Cincinnati, OH 45238
Phone (513) 363-7200
Interoperability endpoints
- afathman327566@direct-prd.stelizabeth.com
- https://api.platform.athenahealth.com/12544/brand/1/csg/1/fhir/r4
- amy.fathman.1@12544.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Primary Care Clinic/Center
- Cincinnati, OH
- NPI 1831102151
-
- Federally Qualified Health Center (FQHC)
- Cincinnati, OH
- NPI 1285980946
-
- Clinic Pharmacy
- Cincinnati, OH
- NPI 1477112308
-
- Foot & Ankle Surgery Podiatrist
- Crestview Hills, KY
- NPI 1043188378
-
- Federally Qualified Health Center (FQHC)
- Cincinnati, OH
- NPI 1952658759
-
- Family Medicine Physician
- Westerville, OH
- NPI 1144642794
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Edgewood, KY
- NPI 1467492421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770336000000",
"number": "1003837352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9855 WASHINGTON TRACE RD",
"city": "CALIFORNIA",
"state": "KY",
"postal_code": "410078507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 ALTAIR PKWY STE 3100",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430827653",
"telephone_number": "614-360-9995",
"fax_number": "844-571-1777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FATHMAN",
"first_name": "AMY",
"middle_name": "E",
"credential": "CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-22",
"last_updated": "2026-02-06",
"certification_date": "2026-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3003600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.