Active NPI
Amber Danyele Lincicome, APRN, CPNP-AC
- Pediatric Nurse Practitioner
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APRN.CNP.003279
- Practice address
- 1 Childrens PLZ # 2
Dayton, OH 45404-1873 - Phone
- (513) 872-6000
- Fax
- (513) 872-6025
- NPI assigned
- Jul 27, 2023
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | APRN.CNP.003279 | OH | Primary |
Addresses
Primary practice location
1 Childrens PLZ # 2
Dayton, OH 45404-1873
Mailing address
2900 N Rocky Point Dr
Tampa, FL 33607-1460
Phone (614) 722-2000
Other practice location 1
4475 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 641-3141
Other practice location 2
1711 Germantown St
Dayton, OH 45417-2600
Phone (937) 641-3142
Other practice location 3
7787 Cox Ln
West Chester, OH 45069-6549
Phone (513) 644-8081
Other practice location 4
792 Northwoods Blvd
Vandalia, OH 45377-9462
Phone (937) 641-4236
Other practice location 5
662 N Main St
Springboro, OH 45066-9553
Phone (937) 641-5066
Other practice location 6
3301 Dayton Xenia Rd Ste 200
Beavercreek, OH 45432-2759
Phone (937) 641-5098
Other practice location 7
3333 W Tech Rd
Miamisburg, OH 45342-0955
Phone (937) 641-3400
Other practice location 8
1 Childrens Plz
Dayton, OH 45404-1815
Phone (937) 641-3600
Other practice location 9
8501 Old Troy Pike
Huber Heights, OH 45424-1032
Phone (937) 641-4360
Other practice location 10
3333 W Tech Rd
Miamisburg, OH 45342-0955
Phone (937) 641-5725
Other practice location 11
6044 Wilmington Pike
Dayton, OH 45459-7006
Phone (937) 641-3270
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0037193 | Medicaid | OH |
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
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.003279 | OH | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Academic Association, Inc. | Pediatrics | Current | Accepting new patients |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Shriners Hospitals for Children | Pediatrics | Current | Accepting new patients |
| Shriners Hospitals for Children | Past | Accepting new patients |
Locations
Dept L289
Columbus, OH 43260
700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411
1 Childrens Plz
#2W
Dayton, OH 45404
Phone (513) 872-6000
1 Childrens Plz
#2
Dayton, OH 45404
Phone (513) 872-6000
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.
-
- Pediatrics Physician
- Columbus, OH
- NPI 1063419943
-
- Plastic and Reconstructive Surgery Physician
- Dayton, OH
- NPI 1568809358
Pediatrics
-
- Clinic/Center
- Aiea, HI
- NPI 1568299857
-
- Orthopaedic Surgery Physician
- Lexington, KY
- NPI 1700223559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1689355273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 N ROCKY POINT DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336071460",
"telephone_number": "614-722-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CHILDRENS PLZ # 2",
"city": "DAYTON",
"state": "OH",
"postal_code": "454041873",
"telephone_number": "513-872-6000",
"fax_number": "513-872-6025"
}
],
"practiceLocations": [
{
"address_1": "4475 Far Hills Ave",
"address_purpose": "LOCATION",
"city": "Kettering",
"state": "OH",
"postal_code": "454292405",
"country_code": "US",
"telephone_number": "937-641-3141",
"fax_number": "937-641-3190",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1711 Germantown St",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454172600",
"country_code": "US",
"telephone_number": "937-641-3142",
"fax_number": "937-641-4172",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7787 Cox Ln",
"address_purpose": "LOCATION",
"city": "West Chester",
"state": "OH",
"postal_code": "450696549",
"country_code": "US",
"telephone_number": "513-644-8081",
"fax_number": "513-847-1192",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "792 Northwoods Blvd",
"address_purpose": "LOCATION",
"city": "Vandalia",
"state": "OH",
"postal_code": "453779462",
"country_code": "US",
"telephone_number": "937-641-4236",
"fax_number": "937-641-4237",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "662 N Main St",
"address_purpose": "LOCATION",
"city": "Springboro",
"state": "OH",
"postal_code": "450669553",
"country_code": "US",
"telephone_number": "937-641-5066",
"fax_number": "937-550-9797",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3301 Dayton Xenia Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Beavercreek",
"state": "OH",
"postal_code": "454322759",
"country_code": "US",
"telephone_number": "937-641-5098",
"fax_number": "937-912-9395",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3333 W Tech Rd",
"address_purpose": "LOCATION",
"city": "Miamisburg",
"state": "OH",
"postal_code": "453420955",
"country_code": "US",
"telephone_number": "937-641-3400",
"fax_number": "937-641-4880",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Childrens Plz",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454041815",
"country_code": "US",
"telephone_number": "937-641-3600",
"fax_number": "937-641-5802",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8501 Old Troy Pike",
"address_purpose": "LOCATION",
"city": "Huber Heights",
"state": "OH",
"postal_code": "454241032",
"country_code": "US",
"telephone_number": "937-641-4360",
"fax_number": "937-641-3791",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3333 W Tech Rd",
"address_purpose": "LOCATION",
"city": "Miamisburg",
"state": "OH",
"postal_code": "453420955",
"country_code": "US",
"telephone_number": "937-641-5725",
"fax_number": "937-350-3050",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6044 Wilmington Pike",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454597006",
"country_code": "US",
"telephone_number": "937-641-3270",
"fax_number": "937-641-6108",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LINCICOME",
"first_name": "AMBER",
"middle_name": "DANYELE",
"credential": "APRN, CPNP-AC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-27",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OH",
"license": "APRN.CNP.003279",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0037193",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.