Individual provider Active NPI

Kelsey Nicole Sonnabend, NP

  • Family Nurse Practitioner
  • Plain City, OH
National Provider Identifier
1528317179
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0034667 Issued in OH
Practice address
7450 Oh-161
Plain City, OH 43064
Phone
(614) 504-5002
NPI assigned
Aug 29, 2012
Last updated
Sep 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0034667 OH Primary
Registered Nurse 163W00000X RN174310 AZ

Addresses

Primary practice location

7450 Oh-161
Plain City, OH 43064

Mailing address

1002 Leslie Dr
Plain City, OH 43064-6509
Phone (480) 389-8693

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231023002252 OH Practitioner - Nurse Practitioner 3476909763 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN174310AZMDRegistered Nurse
0034667OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Incare Health Solutions LLC CurrentSince Sep 11, 2023 Accepting new patients
Incare Health Solutions, LLC Family CurrentSince Sep 11, 2023 Accepting new patients

Locations

1085 Polaris Pkwy
Columbus, OH 43240
Phone (614) 505-0021

7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002

2562 W Market St
Tiffin, OH 44883
Phone (567) 938-8008

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1528317179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 LESLIE DR",
            "city": "PLAIN CITY",
            "state": "OH",
            "postal_code": "430646509",
            "telephone_number": "480-389-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 OH-161",
            "city": "PLAIN CITY",
            "state": "OH",
            "postal_code": "43064",
            "telephone_number": "614-504-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONNABEND",
        "first_name": "KELSEY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0034667",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN174310",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plain City, OH

Sources for this page

Verify at the official NPI Registry.