Individual provider Active NPI

Amber Sanor

  • Licensed Practical Nurse
  • Lisbon, OH
National Provider Identifier
1083361687
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN.118163.MEDS Issued in OH
Practice address
40722 State Route 154
Lisbon, OH 44432-8500
Phone
(330) 424-9573
Fax
(330) 424-0877
NPI assigned
Mar 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN.118163.MEDS OH Primary

Addresses

Primary practice location

40722 State Route 154
Lisbon, OH 44432-8500

Mailing address

PO Box 429
Lisbon, OH 44432-0429
Phone (330) 424-9573

Other identifiers 1

IdentifierTypeStateIssuer
LPN.118163.MEDSOtherOHOHIO NURSING BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPN.118163.MEDSOHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1083361687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444320429",
            "telephone_number": "330-424-9573",
            "fax_number": "330-424-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40722 STATE ROUTE 154",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444328500",
            "telephone_number": "330-424-9573",
            "fax_number": "330-424-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANOR",
        "first_name": "AMBER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-04",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.118163.MEDS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO NURSING BOARD",
            "identifier": "LPN.118163.MEDS",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisbon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.