Adult & Geriatric NP Visits LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

ADULT & GERIATRIC NP VISITS LLC

Practice address

3304 Woodside Dr
Fairfield, OH 45014-5023

Phone

(513) 535-1969

NPI assigned

Jun 4, 2024

Organization subpart

No

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

Authorized official

Name

Patricia Sears, NPNPI 1275707739

Title

Owner

Phone

(513) 535-1969

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia Michelle Sears, ANP-BC

  • Nurse Practitioner
  • Fairfield, OH
  • NPI 1275707739
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1083455083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3304 WOODSIDE DR",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145023",
            "telephone_number": "513-535-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3304 WOODSIDE DR",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145023",
            "telephone_number": "513-535-1969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8073 Tylersville Rd",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "OH",
            "postal_code": "450692589",
            "country_code": "US",
            "telephone_number": "513-777-1400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12050 Montgomery Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452492003",
            "country_code": "US",
            "telephone_number": "513-677-4900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5200 Camelot Dr",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "OH",
            "postal_code": "450144009",
            "country_code": "US",
            "telephone_number": "513-829-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5414 Hankins Rd",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "OH",
            "postal_code": "450449782",
            "country_code": "US",
            "telephone_number": "513-863-7775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADULT & GERIATRIC NP VISITS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "SEARS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-535-1969",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.