NPIMap

Individual provider Active NPI

Sonia Suezette Fizet, APRN

  • Family Nurse Practitioner
  • Kettering, OH
National Provider Identifier
1790456986
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
29940 Issued in OH
Practice address
1050 Forrer Blvd Ste 250
Kettering, OH 45420-3640
Phone
(800) 986-4801
Fax
(937) 684-9990
NPI assigned
Sep 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 29054 SC
Family Nurse Practitioner 363LF0000X 29940 OH Primary

Addresses

Primary practice location

1050 Forrer Blvd Ste 250
Kettering, OH 45420-3640

Mailing address

1050 Forrer Blvd Ste 250
Kettering, OH 45420-3640
Phone (800) 986-4801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220616000720 OH Practitioner - Nurse Practitioner 3971982265 Reassigns benefits to 2 organizations
I20250422003645 SC Practitioner - Nurse Practitioner 3971982265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mend Health LLCGroup PAC ID 6507205838, 12 clinicians
Auc Urologists LLCGroup PAC ID 3375986953, 29 clinicians
Quick Med Urgent Care LLCGroup PAC ID 5799016358, 49 clinicians

Practice addresses (Care Compare)

1050 Forrer Blvd
Suite 250
Kettering, OH 45420-3640
Phone (937) 894-1220

135 Professional Park Dr
Conway, SC 29526-9261
Phone (843) 347-2450

421 S High St
Cortland, OH 44410-1437
Phone (330) 485-0670

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29054SCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Auc Urologists LLC CurrentSince May 1, 2025 Accepting new patients
Mend Health LLC Family CurrentSince Oct 1, 2025 Accepting new patients

Locations

1050 Forrer Blvd
#250
Kettering, OH 45420
Phone (937) 894-1220

1050 Forrer Blvd
Ste 250
Kettering, OH 45420
Phone (800) 986-4801

135 Professional Park Dr
Conway, SC 29526
Phone (843) 347-8765

3600 Sea Mountain Hwy
Ste D
Little River, SC 29566
Phone (843) 399-8930

611 Burroughs and Chapin Blvd
Ste 105
Myrtle Beach, SC 29577

309 Hinson Dr
Myrtle Beach, SC 29579
Phone (843) 236-4949

823 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 449-1010

Interoperability endpoints

  • Direct secure messaging: sonia.fizet.1@19801.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1790456986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 FORRER BLVD STE 250",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454203640",
            "telephone_number": "800-986-4801",
            "fax_number": "937-684-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 FORRER BLVD STE 250",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454203640",
            "telephone_number": "800-986-4801",
            "fax_number": "937-684-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIZET",
        "first_name": "SONIA",
        "middle_name": "SUEZETTE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-27",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "29054",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "29940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

Verify at the official NPI Registry.