Individual provider Active NPI

Deborah Hardy

  • Family Nurse Practitioner
  • Sandusky, OH
National Provider Identifier
1609327238
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.019527 Issued in OH
Practice address
1200 Sycamore Line
Sandusky, OH 44870-4029
Phone
(419) 625-5269
NPI assigned
Oct 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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.019527 OH Primary

Addresses

Primary practice location

1200 Sycamore Line
Sandusky, OH 44870-4029

Mailing address

1939 Cemetery Rd
Fremont, OH 43420-3518

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
I20161206002319 OH Practitioner - Nurse Practitioner 0042590101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Toledo Medical College, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Ohio Medical Specialists,LLCGroup PAC ID 2769386192, 252 clinicians

Practice addresses (Care Compare)

2500 W Strub Rd
Suite 230
Sandusky, OH 44870-5390
Phone (419) 626-6161

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Ohio Medical Specialists LLC CurrentSince Jan 4, 2021 Accepting new patients
Northern Ohio Medical Specialists, LLC CurrentSince Jan 4, 2021 Accepting new patients
Northern Ohio Medical Specialists, LLC Past Accepting new patients

Locations

112 Independence Way
Ste 110
Clyde, OH 43410
Phone (419) 483-9000

26151 Euclid Ave
Ste 201
Euclid, OH 44132
Phone (216) 261-7970

44 Executive Dr
Norwalk, OH 44857
Phone (419) 668-4851

3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841

2500 W Strub Rd
Ste 230
Sandusky, OH 44870
Phone (419) 625-1200

Interoperability endpoints

  • Direct secure messaging: dhardy20277@nomshealthcare.direct-ci.com

Organizations & group practices 3

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": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1609327238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 CEMETERY RD",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434203518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SYCAMORE LINE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704029",
            "telephone_number": "419-625-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY",
        "first_name": "DEBORAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.019527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.