Dorcas Mary Siyanata, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP#12729-NP Issued in OH

Practice address

3033 Kettering Blvd Ste 100
Moraine, OH 45439-1948

Phone

(937) 293-2133

NPI assigned

Jan 27, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dsiyanata@landmarkhealth-direct.org

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.

• Summit Medical Group, PLLC

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1699722470
  NPD (past)

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1518239144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 KETTERING BLVD",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391962",
            "telephone_number": "937-293-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 KETTERING BLVD STE 100",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391948",
            "telephone_number": "937-293-2133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7310 Turfway Rd Ste 550",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "KY",
            "postal_code": "410424872",
            "country_code": "US",
            "telephone_number": "859-372-6625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIYANATA",
        "first_name": "DORCAS",
        "middle_name": "MARY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-27",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "ARNP#3007219",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "CNP#12729-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Anne Siefkes, M.S.W., LSW
• Cheyenne Silvers
• Billiemarie S Simon
• Samantha Simpson
• Sydney M Sines, COUNSELOR TRAINEE
• Robert Skipper, M.DIV., LPCC, LICDC
• Richard Andrew Slade, MS
• Lashunda Kay Sledge
• Erika Gail Slusher, MSW, LSW, CPRS
• Smart Moves Physical Therapy, LLC

• Family Nurse Practitioner in Moraine, OH
• Providers in Moraine, 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 Dec 13, 2019; 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.