Fly Family Health LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

FLY FAMILY HEALTH LLC

Practice address

829 Saint Marys Ave
Sidney, OH 45365-1359

Phone

(937) 606-4275

NPI assigned

Jul 20, 2022

Last updated

Jul 20, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Al Berry

Title

Credentialing Manager

Phone

(323) 676-1281

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1285369561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 SAINT MARYS AVE",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453651359",
            "telephone_number": "937-606-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 SAINT MARYS AVE",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453651359",
            "telephone_number": "937-606-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLY FAMILY HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "AL",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "323-676-1281"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sergio Fernandez
• FHS Sidney, Inc. (Sidney Care Center)
• Abigail L Fischer, CPNP AC PC
• Kendra Flint
• Florencio L Reyes MD Inc
• Haley Fogt
• Jolene Fogt
• Michael Fogt
• Foot and Ankle Centers of Ohio, Inc.
• Karen T Fortman, O.D.

• Family Nurse Practitioner in Sidney, OH
• Providers in Sidney, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.