Individual provider Active NPI

Amy Lynn Isoldi

  • Family Nurse Practitioner
  • Warren, OH
National Provider Identifier
1255197620
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F09230516 Issued in OH
Practice address
2760 Parkman Rd NW
Warren, OH 44485-1635
Phone
(330) 898-1723
NPI assigned
Feb 23, 2024
Last updated
Feb 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F09230516 OH Primary

Addresses

Primary practice location

2760 Parkman Rd NW
Warren, OH 44485-1635

Mailing address

1554 Roosevelt Ave
Niles, OH 44446-4106

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240613000719 OH Practitioner - Nurse Practitioner 8426590803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
S and J Med IncGroup PAC ID 7416857289, 5 clinicians

Practice addresses (Care Compare)

2760 Parkman Rd NW
Warren, OH 44485-1635
Phone (330) 898-1723

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F09230516OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
S & J Med., Inc. CurrentSince Apr 23, 2024 Accepting new patients
Parkman Road Medical Associates Inc Past Accepting new patients

Locations

940 Robbins Ave
Niles, OH 44446
Phone (330) 652-7973

2760 Parkman Rd NW
Warren, OH 44485
Phone (330) 898-1723

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1255197620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1554 ROOSEVELT AVE",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444464106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 PARKMAN RD NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444851635",
            "telephone_number": "330-898-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISOLDI",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "F09230516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.