Patrice Anette Southard, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRNCNP020175 Issued in OH

Practice address

55 N High St
New Albany, OH 43054-7099

Phone

(614) 855-4878

Fax

(614) 855-4813

NPI assigned

Mar 22, 2007

Last updated

Apr 11, 2017By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Certified Nurse Practitioner

State licenses

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1336265040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 N HIGH ST",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430547099",
            "telephone_number": "614-855-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 N HIGH ST",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430547099",
            "telephone_number": "614-855-4878",
            "fax_number": "614-855-4813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHARD",
        "first_name": "PATRICE",
        "middle_name": "ANETTE",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRNCNP020175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2666799",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Derek L Snook, M.D.
• Joseph Snowden, PHARMD
• Sole Foot & Ankle Specialists, LLC
• Heather Wood Sorensen, OD
• Maureen Bridget South, DPT
• Lisa Spector, LISW-S
• Spectrum Home Services of Greater Columbus
• Janie Staravecka, DPM
• Starpath Orthopaedics & Sports Medicine, Inc.
• Michael A Stauber, MD

• Family Nurse Practitioner in New Albany, OH
• Providers in New Albany, 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 Apr 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.