Ariel Brindley
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Dover, OH
NPI 1508453218 · NPPES record last updated Mar 23, 2022
Key facts
- NPI
- 1508453218
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- APRN.CNP.0030728 (OH)
- Practice address
- 201 Hospital Dr
Dover, OH 44622-2058 - Phone
- (330) 343-6631
- NPI assigned
- Dec 29, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220401001181 | OH | Practitioner - Nurse Practitioner | 9931595865 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.356019 | OH | MD | Registered Nurse |
| APRN.CNP.0030728 | OH | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springvale Health Centers, Inc | Current |
Accepting new patients | |
| Springvale Health Centers,Inc | Current |
Accepting new patients | |
| Springvale Health Centers, Inc | Current | Accepting new patients | |
| Springvale Health Centers, Inc. | Current | Accepting new patients | |
| Cedar Ridge Behavioral Health Solutions LLC | Past |
Accepting new patients | |
| Cedar Ridge Behavioral Health Solutions | Past |
Accepting new patients |
Locations
201 Hospital Dr
Dover, OH 44622
Phone (330) 343-6631
335 Oxford St
Dover, OH 44622
Phone (330) 343-6631
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HDGCDA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.356019 | OH | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN.CNP.0030728 | OH | Yes |
Addresses
Primary practice location
201 Hospital Dr
Dover, OH 44622-2058
Mailing address
201 Hospital Dr
Dover, OH 44622-2058
Phone (330) 343-6631
Other providers in Dover, OH
- Julia Marie Bologna
- Scott W. Booth
- Makayla Briana Border
- John Gilbert Bozzelli
- Miquel A Bravo
- Cathy Sue Brinkman
- Emma Meiggs Brixen
- Amanda L Brock
- David L Brown
- Nancy Ann Brown
All providers in Dover, OH · Psychiatric/Mental Health Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.