Individual provider Active NPI

Matilda Senayah, CNP

  • Family Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1447986567
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0031922 Issued in OH
Practice address
2150 W Central Ave
Toledo, OH 43606-3834
Phone
(419) 291-8701
Fax
(419) 479-3298
NPI assigned
Jul 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 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 0031922 OH Primary

Addresses

Primary practice location

2150 W Central Ave
Toledo, OH 43606-3834

Mailing address

8814 Linden Lake Rd
Sylvania, OH 43560-8927
Phone (937) 312-5004

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address msenayah110540@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221013001437 OH Practitioner - Nurse Practitioner 4284000431 Reassigns benefits to 1 organization
I20250625002932 OR Practitioner - Nurse Practitioner 4284000431 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0031922OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians CurrentSince Aug 1, 2022 Accepting new patients
Promedica Central Physicians CurrentSince Aug 1, 2022 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince May 12, 2025 Accepting new patients

Locations

6711 Airport Hwy
Holland, OH 43528
Phone (567) 585-0070

25950 Dixie Hwy
#500
Perrysburg, OH 43551
Phone (567) 585-0010

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

2150 W Central Ave
Toledo, OH 43606
Phone (419) 291-2200

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

1091 Pray Blvd
Waterville, OH 43566
Phone (419) 785-3282

780 Commercial St SE
Ste 100
Salem, OR 97301
Phone (469) 466-7037

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 600
Dallas, TX 75244

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1447986567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8814 LINDEN LAKE RD",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435608927",
            "telephone_number": "937-312-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 W CENTRAL AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063834",
            "telephone_number": "419-291-8701",
            "fax_number": "419-479-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENAYAH",
        "first_name": "MATILDA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-29",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0031922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msenayah110540@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.