Amanda Lynn Fantino

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

024671 Issued in OH

Practice address

5240 E Galbraith Rd Ste a
Cincinnati, OH 45236-2879

Phone

(513) 721-7533

NPI assigned

Oct 9, 2019

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

Other names 1

• Amanda Lynn O'Donnell Former name

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Neurological and Sleep Disorders IncGroup PAC ID 1052215605, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, 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.

• Neurological & Sleep Disorders Inc

  • Sleep Medicine (Internal Medicine) Physician
  • Cincinnati, OH
  • NPI 1477519973

  OH

  Medicare reassignment Care Compare group
• Your MD, LLC

  • Sleep Medicine (Family Medicine) Physician
  • Cincinnati, OH
  • NPI 1326200205
  NPD

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1083256291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 E GALBRAITH RD STE A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362879",
            "telephone_number": "513-721-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5240 E GALBRAITH RD STE A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362879",
            "telephone_number": "513-721-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANTINO",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "024671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "O'DONNELL",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Juliet H Fanning
• Michele D Fanning, SWT
• Jocelyn Paige Fant, MD
• Keisha Louise Fant, P.A.
• Meghan Leigh Fanta, MD
• Shayan Farahani
• Cynthia Farber, DDS
• Deborah Farber, MD
• Emily Danielle Farber, APRN
• Wayne Farber, DDS

• All providers in Cincinnati, OH
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.
• 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.

Verify at the official NPI Registry.