Individual provider Active NPI

Sue P Bell

  • Adult Health Nurse Practitioner
  • Fairfield, OH
National Provider Identifier
1245436252
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
COA08811NP Issued in OH
Practice address
3050 Mack Rd
Suite 200
Fairfield, OH 45014-5379
Phone
(513) 981-6784
Fax
(513) 215-9397
NPI assigned
Jun 26, 2007
Last updated
Oct 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X COA08811NP OH Primary
Clinical Nurse Specialist 364S00000X RN.314438 OH

Addresses

Primary practice location

3050 Mack Rd
Suite 200
Fairfield, OH 45014-5379

Mailing address

3050 Mack Rd
Suite 200
Fairfield, OH 45014-5379
Phone (513) 981-6784

Other identifiers 1

IdentifierTypeStateIssuer
2785866MedicaidOH

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA08811NPOHMDAdult Health Nurse Practitioner
RN.314438OHMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Christ Hospital Orthopedic Associates III LLC PastSince Oct 4, 2010 Accepting new patients
Freiberg Orthopaedics & Sports Medicine Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1245436252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 MACK RD",
            "address_2": "SUITE 200",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145379",
            "telephone_number": "513-981-6784",
            "fax_number": "513-215-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 MACK RD",
            "address_2": "SUITE 200",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145379",
            "telephone_number": "513-981-6784",
            "fax_number": "513-215-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "SUE",
        "middle_name": "P",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "COA08811NP",
            "primary": true
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "OH",
            "license": "RN.314438",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2785866",
            "state": "OH"
        }
    ],
    "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 Oct 6, 2015; 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.