Individual provider Active NPI

Fatime Sylla

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1598355083
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0027645 Issued in OH
Practice address
1990 Harmon Ave
Columbus, OH 43223-3829
Phone
(614) 445-5960
NPI assigned
Jan 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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 APRN.CNP.0027645 OH Primary

Addresses

Primary practice location

1990 Harmon Ave
Columbus, OH 43223-3829

Mailing address

1990 Harmon Ave
Columbus, OH 43223-3829
Phone (614) 445-5960

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
I20220516000964 OH Practitioner - Nurse Practitioner 6406233303 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0027645OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Urgent Care of Michigan, PC CurrentSince Oct 24, 2022 Accepting new patients
Incare Health Solutions LLC CurrentSince Nov 1, 2023 Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Oct 24, 2022 Accepting new patients
Signify Health, LLC CurrentSince May 1, 2022 Accepting new patients
Incare Health Solutions, LLC Family CurrentSince Nov 1, 2023 Accepting new patients
Urgent Care Specialists, LLC PastSince Apr 28, 2024 Accepting new patients

Locations

5801 Tamarack Blvd
Columbus, OH 43229
Phone (614) 436-6009

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

2880 Stelzer Rd
Columbus, OH 43219
Phone (614) 472-2880

6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630

6210 Brandt Pike
Ste 102
Huber Heights, OH 45424
Phone (937) 236-8630

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

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

3597 E Main St
Whitehall, OH 43213
Phone (614) 549-7348

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

Organizations & group practices 6

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": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1598355083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 HARMON AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432233829",
            "telephone_number": "614-445-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 HARMON AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432233829",
            "telephone_number": "614-445-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYLLA",
        "first_name": "FATIME",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0027645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.