Individual provider Active NPI

Layne Bethany Fine, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Youngstown, OH
National Provider Identifier
1720829336
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0036599 Issued in OH
Practice address
2240 Hubbard Rd
Youngstown, OH 44505-3157
Phone
(330) 746-3777
NPI assigned
Jun 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0036599 OH Primary

Addresses

Primary practice location

2240 Hubbard Rd
Youngstown, OH 44505-3157

Mailing address

2152 McCoy Rd
Norton, OH 44203-1038
Phone (330) 356-4723

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CO, MT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20250219000379 OH Practitioner - Nurse Practitioner 9133649379 Reassigns benefits to 2 organizations
I20260410003095 CO Practitioner - Nurse Practitioner 9133649379 Reassigns benefits to 1 organization
I20260415003452 MT Practitioner - Nurse Practitioner 9133649379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eleanor Health Professional Oh, LLCGroup PAC ID 7618384447, 6 clinicians

Practice addresses (Care Compare)

25 N Canfield Niles Rd
Suite 30
Youngstown, OH 44515-2308
Phone (330) 355-3153

789 White Pond Dr
Suite C
Akron, OH 44320-4203
Phone (330) 355-3153

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eleanor Health Professional Oh, LLC CurrentSince Jun 23, 2025 Accepting new patients

Locations

789 White Pond Dr
Ste C
Akron, OH 44320
Phone (330) 355-3153

Interoperability endpoints

  • Direct secure messaging: layne.fine.1@21505.direct.athenahealth.com

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": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1720829336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2152 MCCOY RD",
            "city": "NORTON",
            "state": "OH",
            "postal_code": "442031038",
            "telephone_number": "330-356-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 HUBBARD RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445053157",
            "telephone_number": "330-746-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINE",
        "first_name": "LAYNE",
        "middle_name": "BETHANY",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0036599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.