Amber Nikole Sivak, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN.126299IV Issued in OH

Practice address

336 Locust Forge LN
Lebanon, OH 45036-7603

Phone

(513) 435-3713

NPI assigned

Dec 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Amber Nikole Sivak Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1285817502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 LOCUST FORGE LN",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450367603",
            "telephone_number": "513-435-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 LOCUST FORGE LN",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450367603",
            "telephone_number": "513-435-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVAK",
        "first_name": "AMBER",
        "middle_name": "NIKOLE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN.126299IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "SIVAK",
            "middle_name": "NIKOLE",
            "credential": "LPN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jennifer Siehl, LPC
• Emily Simon
• Christopher Edward Simonson
• Lauren Simpkins
• Dan Simpson, LPN
• Candace R Skaggs
• Kaitlyn Skidmore
• Cheryl Ann Skinner, M.D.
• Jill Elizabeth Slay, M.S. CCC-SLP
• Andrea Lynn Smith

• Licensed Practical Nurse in Lebanon, OH
• Providers in Lebanon, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.