Individual provider Active NPI

Anitra Marie Niece, RN

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1023606944
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0029085 Issued in OH
Practice address
3654 Werk Rd
Cincinnati, OH 45248-4900
Phone
(513) 452-0929
Fax
(513) 540-4909
NPI assigned
Jan 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 346788 OH
Family Nurse Practitioner 363LF0000X 4038591 KY
Registered Nurse 163W00000X 28231560A IN
Family Nurse Practitioner 363LF0000X 0029085 OH Primary

Addresses

Primary practice location

3654 Werk Rd
Cincinnati, OH 45248-4900

Mailing address

10864 Pippin Rd
Cincinnati, OH 45231-1546
Phone (513) 307-5798

Other practice location 1

10864 Pippin Rd
Cincinnati, OH 45231-1546
Phone (513) 307-5798

Other practice location 2

210 E Gray St Ste 803
Louisville, KY 40202-3904
Phone (502) 238-9462

Other practice location 3

6779 Colerain Ave
Cincinnati, OH 45239-5541
Phone (513) 923-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220802002533 OH Practitioner - Nurse Practitioner 9234534363 Reassigns benefits to 3 organizations
I20250602002153 KY Practitioner - Nurse Practitioner 9234534363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
CG Medical Associates IncGroup PAC ID 6608052196, 171 clinicians
Boulder Care Provider Group PAGroup PAC ID 6901217447, 115 clinicians
Cleanslate Medical Group of Kentucky PLLCGroup PAC ID 4486909769, 18 clinicians
Cleanslate Medical Group of Ohio LLCGroup PAC ID 9537418025, 10 clinicians

Practice addresses (Care Compare)

1492 S Erie Blvd
Hamilton, OH 45011
Phone (513) 847-6778

20046 Walker Rd
Suite 7
Shaker Heights, OH 44122-3645
Phone (503) 208-5061

210 E Gray St
Suite 803
Louisville, KY 40202-3904
Phone (413) 584-2173

3654 Werk Rd
Cincinnati, OH 45248-4900
Phone (513) 452-0929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
28231560AINMDRegistered Nurse
346788OHMDRegistered Nurse
4038591KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CG Medical Associates Inc CurrentSince Aug 1, 2022 Accepting new patients
Cleanslate Medical Group of Kentucky PLLC CurrentSince May 1, 2025 Accepting new patients
Cleanslate Medical Group of Ohio LLC CurrentSince Apr 1, 2023 Accepting new patients
Family Wellness Primary Care CurrentSince Feb 11, 2024 Accepting new patients

Locations

1232 Adams St
Ste 200
Bowling Green, KY 42101
Phone (270) 467-7180

1500 Leestown Rd
Ste 110
Lexington, KY 40511
Phone (502) 657-2701

210 E Gray St
Ste 803
Louisville, KY 40202
Phone (502) 582-6900

6801 Dixie Hwy
Ste 132
Louisville, KY 40258
Phone (502) 657-2701

3500 Villa Pt
Ste 110A
Owensboro, KY 42303

59 Bobala Rd
Holyoke, MA 01040
Phone (413) 486-7819

3654 Werk Rd
Cincinnati, OH 45248
Phone (513) 451-6001

7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100

1375 Kemper Meadow Dr
Ste A
Cincinnati, OH 45240

1492 S Erie Hwy
Hamilton, OH 45011
Phone (513) 765-6890

1416 W 1st St
Springfield, OH 45504
Phone (614) 453-1589

8 Cadillac Dr
Ste 180
Brentwood, TN 37027

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1023606944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10864 PIPPIN RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452311546",
            "telephone_number": "513-307-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3654 WERK RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452484900",
            "telephone_number": "513-452-0929",
            "fax_number": "513-540-4909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10864 Pippin Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452311546",
            "country_code": "US",
            "telephone_number": "513-307-5798",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 E Gray St Ste 803",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402023904",
            "country_code": "US",
            "telephone_number": "502-238-9462",
            "fax_number": "502-290-5632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6779 Colerain Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452395541",
            "country_code": "US",
            "telephone_number": "513-923-1100",
            "fax_number": "513-923-1094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIECE",
        "first_name": "ANITRA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-06",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "346788",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4038591",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28231560A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0029085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.