Active NPI
Sabrina Neeley, CNP
- Family Nurse Practitioner
- Kenton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.020742
- Practice address
- 111 W Espy St
Kenton, OH 43326-2117 - Phone
- (419) 679-5994
- NPI assigned
- Sep 18, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.020742 | OH | Primary |
Addresses
Primary practice location
111 W Espy St
Kenton, OH 43326-2117
Mailing address
4422 Stemen St
Lima, OH 45807-9729
Phone (419) 371-1521
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, WA, NC, OR, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
106 Langtree Village Dr
Suite 301
Mooresville, NC 28117-7594
Phone (888) 288-4715
1109 Oak Park Dr
Suite 125
Fort Collins, CO 80525-6215
Phone (888) 288-4715
111 SW Naito Pkwy
Suite 200
Portland, OR 97204-3512
Phone (503) 563-7370
20046 Walker Rd
Suite 7
Shaker Heights, OH 44122-3645
Phone (503) 208-5061
915 Broadway St
Suite 137
Vancouver, WA 98660-3278
Phone (503) 208-5061
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Master of Arts, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.020742 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boulder Care Provider Group PA | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
205 E Benson Blvd
Ste 227
Anchorage, AK 99503
1109 Oak Park Dr
Ste 125
Fort Collins, CO 80525
106 Langtree Village Dr
Ste 301
Mooresville, NC 28117
Phone (704) 457-1368
150 Washington Ave
Ste 200
Santa Fe, NM 87501
20046 Walker Rd
Ste 7
Shaker Heights, OH 44122
Phone (503) 208-5061
111 SW Naito Pkwy
Ste 200
Portland, OR 97204
Phone (503) 208-5061
915 Broadway St
Ste 137
Vancouver, WA 98660
Phone (503) 208-5061
Organizations & group practices 2
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.
-
dba Boulder Care
- Addiction Medicine (Family Medicine) Physician
- Portland, OR
- NPI 1649838590
CO, NC, OH, WA
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537228800000",
"number": "1518441369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4422 STEMEN ST",
"city": "LIMA",
"state": "OH",
"postal_code": "458079729",
"telephone_number": "419-371-1521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 W ESPY ST",
"city": "KENTON",
"state": "OH",
"postal_code": "433262117",
"telephone_number": "419-679-5994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEELEY",
"first_name": "SABRINA",
"name_prefix": "Miss",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-18",
"last_updated": "2018-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.020742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.