Individual provider Active NPI

Sandra Dunn, CNP

  • Women's Health Nurse Practitioner
  • Akron, OH
National Provider Identifier
1790741510
Registry record updated Jul 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
NP-06373 Issued in OH
Practice address
676 S Broadway St
Akron, OH 44311-1059
Phone
(330) 344-6800
Fax
(330) 344-6322
NPI assigned
Apr 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X NP-06373 OH Primary
Registered Nurse 163W00000X RN.231635.COA1 OH

Addresses

Primary practice location

676 S Broadway St
Akron, OH 44311-1059

Mailing address

676 S Broadway St
Akron, OH 44311-1059
Phone (330) 344-6800

Other identifiers 1

IdentifierTypeStateIssuer
2285414MedicaidOH

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
I20100303000720 OH Practitioner - Nurse Practitioner 7012052939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Ohio Medical Specialists,LLCGroup PAC ID 2769386192, 252 clinicians

Practice addresses (Care Compare)

3632 Ridgewood Rd
Fairlawn, OH 44333-3124
Phone (330) 666-6266

Hospital & facility affiliations

  • Akron General Medical Center Hospital, Akron, OH, CCN 360027

Merit-based Incentive Payment System (MIPS)

Final score
80.23 of 100Reported as group
Quality
59.13
Promoting interoperability
99
Improvement activities
40
Cost
75.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.231635.COA1OHMDRegistered Nurse
NP-06373OHMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Ohio Medical Specialists, LLC CurrentSince Aug 29, 2022 Accepting new patients
Northern Ohio Medical Specialists LLC CurrentSince Aug 29, 2022 Accepting new patients
Summa Physicians LLC Past Accepting new patients
Northern Ohio Medical Specialists, LLC Past Accepting new patients

Locations

3632 Ridgewood Rd
Fairlawn, OH 44333
Phone (330) 666-4158

3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841

Interoperability endpoints

  • Direct secure messaging: sdunn20202@nomshealthcare.direct-ci.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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406678400000",
    "number": "1790741510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 S BROADWAY ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443111059",
            "telephone_number": "330-344-6800",
            "fax_number": "330-344-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 S BROADWAY ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443111059",
            "telephone_number": "330-344-6800",
            "fax_number": "330-344-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "SANDRA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2014-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "NP-06373",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.231635.COA1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2285414",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.