Kip William Soviak, FNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN.CNP.0031836 Issued in OH

Practice address

2221 Hayes Ave
Fremont, OH 43420-2632

Phone

(419) 334-3869

NPI assigned

Jul 20, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

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.

• Community and Rural Health Services

  • Rural Health Clinic/Center
  • Fremont, OH
  • NPI 1780683573
  Medicare reassignment NPD
• Family Health Services of Erie County

  • Federally Qualified Health Center (FQHC)
  • Sandusky, OH
  • NPI 1831343805
  Medicare reassignment NPD
• Family Health Services of Erie County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Huron, OH
  • NPI 1902662349
  NPD
• Family Health Services of Erie County

  • Federally Qualified Health Center (FQHC)
  • Sandusky, OH
  • NPI 1033937214
  NPD (past)
• Family Health Services of Erie County

  • Federally Qualified Health Center (FQHC)
  • Milan, OH
  • NPI 1124787122
  NPD (past)
• Family Health Services of Erie County

  • Federally Qualified Health Center (FQHC)
  • Sandusky, OH
  • NPI 1164060372
  NPD (past)
• Family Health Services of Erie County

  • Federally Qualified Health Center (FQHC)
  • Sandusky, OH
  • NPI 1184441081
  NPD (past)
• Family Health Services of Erie County

  • Federally Qualified Health Center (FQHC)
  • Huron, OH
  • NPI 1205692753
  NPD (past)
• Family Health Services of Erie County

  • Federally Qualified Health Center (FQHC)
  • Berlin Heights, OH
  • NPI 1235898321
  NPD (past)
• Family Health Services of Erie County

  • Federally Qualified Health Center (FQHC)
  • Sandusky, OH
  • NPI 1265959597
  NPD (past)
• Family Health Services of Erie County

  • Federally Qualified Health Center (FQHC)
  • Sandusky, OH
  • NPI 1306651237
  NPD (past)
• Family Health Services of Erie County

  • Federally Qualified Health Center (FQHC)
  • Collins, OH
  • NPI 1508645649
  NPD (past)

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1063147445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 SOUTH ST",
            "city": "BERLIN HEIGHTS",
            "state": "OH",
            "postal_code": "448149608",
            "telephone_number": "419-541-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 HAYES AVE",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434202632",
            "telephone_number": "419-334-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOVIAK",
        "first_name": "KIP",
        "middle_name": "WILLIAM",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-20",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0031836",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0031836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Snyder
• Nathan Daniel Sochko, CDCA
• Kelly Solander, CDCA
• Terence Roland Somerville, MA, LPCC
• Alyce E Sopkovich, LISW-S
• Libby Spears
• Jason Sprenger
• Kyle Spriggs, PT, ATC, LAT, CSCS
• Stacy G. Pasch, O.D. Inc
• Eran Marie Stacy, CASE MANAGER

• Psychiatric/Mental Health Nurse Practitioner in Fremont, OH
• Providers in Fremont, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.