Active NPI
Natasha Nicole Neis, NP
- Acute Care Nurse Practitioner
- Fairfield, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 021809
- Practice address
- 3000 Mack Rd Ste 100
Fairfield, OH 45014-5335 - Phone
- (513) 751-4222
- Fax
- (513) 874-3023
- NPI assigned
- Dec 19, 2017
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 021809 | OH | Primary |
Addresses
Primary practice location
3000 Mack Rd Ste 100
Fairfield, OH 45014-5335
Mailing address
3000 Mack Rd Ste 100
Fairfield, OH 45014-5335
Phone (513) 751-4222
Other practice location 1
375 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 862-1400
Other practice location 2
7495 State Rd Ste 200
Cincinnati, OH 45255-6400
Phone (513) 732-8377
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021809 | OH | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | Current | Accepting new patients | |
| Mercy Health Physicians Cincinnati Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians Cincinnati Specialty Care LLC | Current | Accepting new patients |
Locations
312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023
7495 State Rd
Ste 200
Cincinnati, OH 45255
Phone (513) 624-6500
175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902
3000 Mack Rd
Ste 100
Fairfield, OH 45014
201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 3
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.
-
- Surgery Physician
- Blue Ash, OH
- NPI 1154942795
-
dba Mercy Health- Kyles Station Orthopedic and Sports Medicine
- Durable Medical Equipment & Medical Supplies
- Liberty TWP, OH
- NPI 1730993270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682985600000",
"number": "1033625553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 MACK RD STE 100",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450145335",
"telephone_number": "513-751-4222",
"fax_number": "513-874-3023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 MACK RD STE 100",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450145335",
"telephone_number": "513-751-4222",
"fax_number": "513-874-3023"
}
],
"practiceLocations": [
{
"address_1": "375 Dixmyth Ave",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452202475",
"country_code": "US",
"telephone_number": "513-862-1400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7495 State Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452556400",
"country_code": "US",
"telephone_number": "513-732-8377",
"fax_number": "513-732-2618",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEIS",
"first_name": "NATASHA",
"middle_name": "NICOLE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-19",
"last_updated": "2023-05-02",
"certification_date": "2023-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OH",
"license": "021809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.