Active NPI
Alicia M Fink, APRN
- Family Nurse Practitioner
- Portsmouth, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3006446
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000754022 | Other | KY | ANTHEM BCBS |
| 2964190 | Medicaid | OH | |
| 7100115810 | Medicaid | KY | |
| 3810017635 | Medicaid | WV | |
| P01312570 | Other | KY | RR MEDICARE |
| 000000847130 | Other | KY | ANTHEM BCBS |
| P01021227 | Other | KY | RR 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3006446 | KY | MD | Family Nurse Practitioner |
| 10341-NP | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shawnee Mental Health Center, Inc. | Current | Accepting new patients | |
| Wheelersburg Internal Medicine Group Inc | Current | Accepting new patients | |
| Shawnee Mental Health Center, Inc. | Current | Accepting new patients | |
| Portsmouth Hospital Corporation | Current | 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
- 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.
-
- General Acute Care Hospital
- Portsmouth, OH
- NPI 1417227398
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Portsmouth, OH
- NPI 1336173236
-
- Internal Medicine Physician
- Wheelersburg, OH
- NPI 1437254927
-
- Community/Retail Pharmacy
- Portsmouth, OH
- NPI 1992524045
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.