Active NPI
Jeannie Marie Nartker, PTA
- Prevention Professional
- Mason, OH
National Provider Identifier
1629798012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- License
- 07431
- Practice address
- 411 Western Ave
Mason, OH 45040 - Phone
- (513) 398-1486
- NPI assigned
- Aug 29, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prevention Professional | 405300000X | 07431 | OH | Primary |
Addresses
Primary practice location
411 Western Ave
Mason, OH 45040
Mailing address
8192 Ascot Glen CT
Liberty Township, OH 45044-1204
Phone (513) 295-3705
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07431 | OH | MD | Prevention Professional |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661731200000",
"number": "1629798012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8192 ASCOT GLEN CT",
"city": "LIBERTY TOWNSHIP",
"state": "OH",
"postal_code": "450441204",
"telephone_number": "513-295-3705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 WESTERN AVE",
"city": "MASON",
"state": "OH",
"postal_code": "45040",
"telephone_number": "513-398-1486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NARTKER",
"first_name": "JEANNIE",
"middle_name": "MARIE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-29",
"last_updated": "2022-08-29",
"certification_date": "2022-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "OH",
"license": "07431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mason, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.