Individual provider Active NPI

Belinda Sue Niece, APRN-CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fairborn, OH
National Provider Identifier
1760087647
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0028093 Issued in OH
Practice address
323 N Broad St
Fairborn, OH 45324-4934
Phone
(937) 318-8103
NPI assigned
Dec 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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.0028093 OH Primary

Addresses

Primary practice location

323 N Broad St
Fairborn, OH 45324-4934

Mailing address

7409 Yorkshire Dr
Dayton, OH 45414-2136

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210512000375 OH Practitioner - Nurse Practitioner 7911316500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Lighthouse Behavioral Health Solutions, LLCGroup PAC ID 4486089893, 14 clinicians

Practice addresses (Care Compare)

4000 E Main St
Columbus, OH 43213-2950
Phone (614) 334-6903

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0028093OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Behavioral Health Solutions, LLC CurrentSince Jan 12, 2022 Accepting new patients

Locations

4214 E Main St
Whitehall, OH 43213
Phone (330) 334-6903

4000 E Main St
Whitehall, OH 43213
Phone 6143346903 ext. 1316

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": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1760087647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7409 YORKSHIRE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454142136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 N BROAD ST",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453244934",
            "telephone_number": "937-318-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIECE",
        "first_name": "BELINDA",
        "middle_name": "SUE",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0028093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairborn, OH

Sources for this page

Verify at the official NPI Registry.