Fanta Beretay

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN.CNP.020429 Issued in OH

Practice address

5783 Daffodil CT
Grove City, OH 43123-9456

Phone

(614) 991-4895

Fax

(614) 991-4895

NPI assigned

Sep 16, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• First Care Integrated Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbus, OH
  • NPI 1447884077

  Family

  Medicare reassignment NPD Authorized official
• First Step Recovery Center

  • Addiction Medicine (Family Medicine) Physician
  • Reynoldsburg, OH
  • NPI 1467826453
  Medicare reassignment NPD
• Ohioguidestone

  • Developmental - Behavioral Pediatrics Physician
  • Berea, OH
  • NPI 1609123728
  Medicare reassignment NPD
• Vpa PC

  • Family Medicine Physician
  • Middleburg Heights, OH
  • NPI 1932386059
  Medicare reassignment NPD
• Firstcare Homehealth Services LLC

  • Home Health Agency
  • Grove City, OH
  • NPI 1457799421
  NPD (past) Authorized official
• First Step Recovery Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Reynoldsburg, OH
  • NPI 1477004810
  NPD
• Ohioguidestone

  • Community/Behavioral Health Agency
  • Berea, OH
  • NPI 1174680557
  NPD
• Ohioguidestone

  • Family Medicine Physician
  • Lorain, OH
  • NPI 1487452603
  NPD
• Vpa PC

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1497700397
  NPD
• Vpa PC

  • Family Medicine Physician
  • Brentwood, TN
  • NPI 1578363362
  NPD

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1801045695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5783 DAFFODIL CT",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431239456",
            "telephone_number": "614-493-9884",
            "fax_number": "614-991-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5783 DAFFODIL CT",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431239456",
            "telephone_number": "614-991-4895",
            "fax_number": "614-991-4895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERETAY",
        "first_name": "FANTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-16",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRNCNP020429",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.020429",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.020429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alivia Rene Benfield, FNP
• Benjamin Benitez, DO
• Cory E Bennett, D.O.
• Jack Byron Bennett
• Paul Wesley Bennett, M.D.
• Miriam R. Berg, APRN-CNP
• Caryn Nicole Berger, MSW, LISW-S
• Kelaija C Berry, LPN
• David Bethel, OTR/L
• Nakita Bethel, LMT

• Psychiatric/Mental Health Nurse Practitioner in Grove City, OH
• Providers in Grove City, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.