Amber Sturgill

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

166232 Issued in OH

Practice address

3418 Lake Ave
Ashtabula, OH 44004-5763

Phone

(440) 650-5030

NPI assigned

Jul 28, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Square One Health LLC

  • Community/Behavioral Health Agency
  • Ashtabula, OH
  • NPI 1326717190
  NPD

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1417620196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3418 LAKE AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440045763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 LAKE AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440045763",
            "telephone_number": "440-650-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURGILL",
        "first_name": "AMBER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "166232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Stevenson
• Caroline Elizabeth Stipkovich, PT, DPT
• Patrick Stocker, MSN CRNA
• Korey Stoneman
• Mattie E Stowell, DDS
• Andrea Sullivan
• Joleen V Sundquist, MA, LPCC
• Yisa Sunmonu, MD
• Mary E. Swanson, H.I.S.
• Teresa Swanson

• Licensed Practical Nurse in Ashtabula, OH
• Providers in Ashtabula, 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 Jul 28, 2021; 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.