Individual provider Active NPI

Alicia M Fink, APRN

  • Family Nurse Practitioner
  • Portsmouth, OH
National Provider Identifier
1629220744
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3006446 Issued in KY
Practice address
2001 Scioto TRL Ste 300
Portsmouth, OH 45662-5122
Phone
(740) 353-6390
Fax
(740) 353-6290
NPI assigned
Oct 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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 3006446 KY Primary
Family Nurse Practitioner 363LF0000X 10341-NP OH

Addresses

Primary practice location

2001 Scioto TRL Ste 300
Portsmouth, OH 45662-5122

Mailing address

PO Box 1595
Ashland, KY 41105-1595
Phone (606) 408-6200

Other identifiers 7

IdentifierTypeStateIssuer
000000754022OtherKYANTHEM BCBS
2964190MedicaidOH
7100115810MedicaidKY
3810017635MedicaidWV
P01312570OtherKYRR MEDICARE
000000847130OtherKYANTHEM BCBS
P01021227OtherKYRR MEDICARE

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
I20151215001387 OH Practitioner - Nurse Practitioner 2860552239 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3006446KYMDFamily Nurse Practitioner
10341-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Mental Health Center, Inc. CurrentSince Jun 18, 2018 Accepting new patients
Wheelersburg Internal Medicine Group Inc CurrentSince Apr 21, 2018 Accepting new patients
Shawnee Mental Health Center, Inc. CurrentSince Jun 18, 2018 Accepting new patients
Portsmouth Hospital Corporation CurrentSince Mar 1, 2016 Accepting new patients

Locations

2001 Scioto Trl
Ste 200
Portsmouth, OH 45662
Phone (740) 353-8100

901 Washington St
Portsmouth, OH 45662
Phone (740) 354-7702

2001 Scioto Trl
Ste 300
Portsmouth, OH 45662
Phone (740) 353-6390

1901 Argonne Rd
Portsmouth, OH 45662
Phone (740) 991-0911

8048 Ohio River Rd
Wheelersburg, OH 45694
Phone (740) 574-1500

Interoperability endpoints

  • Direct secure messaging: alicia.fink@somc.medicity.net

Organizations & group practices 4

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": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1629220744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1595",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411051595",
            "telephone_number": "606-408-6200",
            "fax_number": "606-408-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SCIOTO TRL STE 300",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456625122",
            "telephone_number": "740-353-6390",
            "fax_number": "740-353-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINK",
        "first_name": "ALICIA",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3006446",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "10341-NP",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000754022",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2964190",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100115810",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810017635",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01312570",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000847130",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01021227",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

Verify at the official NPI Registry.