Individual provider Active NPI

Sara Helene Pinney, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Mason, OH
National Provider Identifier
1669022349
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
L-117280 Issued in OH
Practice address
969 Reading Rd Ste H
Mason, OH 45040-2654
Phone
(937) 657-8101
NPI assigned
Sep 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X L-117280 OH Primary

Addresses

Primary practice location

969 Reading Rd Ste H
Mason, OH 45040-2654

Mailing address

5030 Western Hills Ave
Cincinnati, OH 45238-3811
Phone (513) 500-3619

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
L-117280OHMDLactation Consultant (Registered Nurse)

Practice roles

OrganizationSpecialtyStatusNew patients
Roots Wellness Group, LLC CurrentSince Apr 14, 2024 Accepting new patients

Locations

969 Reading Rd
Ste H
Mason, OH 45040
Phone (513) 313-0686

Organizations & group practices 1

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": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1669022349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 WESTERN HILLS AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452383811",
            "telephone_number": "513-500-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 READING RD STE H",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450402654",
            "telephone_number": "937-657-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINNEY",
        "first_name": "SARA",
        "middle_name": "HELENE",
        "credential": "RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "OH",
            "license": "L-117280",
            "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 Sep 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.