Individual provider Active NPI

Dawn Aldrich

  • Family Nurse Practitioner
  • Holland, OH
National Provider Identifier
1821659764
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP024872 Issued in OH
Practice address
6819 Spring Valley Dr
Holland, OH 43528-9487
Phone
(419) 930-5700
NPI assigned
Jun 21, 2019
Last updated
Jun 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP024872 OH Primary

Addresses

Primary practice location

6819 Spring Valley Dr
Holland, OH 43528-9487

Mailing address

16764 County Road U
Napoleon, OH 43545-9753
Phone (419) 591-6404

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
I20190829002751 OH Practitioner - Nurse Practitioner 1355679275 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry County Hospital IncGroup PAC ID 0345141644, 42 clinicians

Practice addresses (Care Compare)

1600 E Riverview Ave
Napoleon, OH 43545-9805
Phone (419) 592-4015

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP024872OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians CurrentSince Oct 20, 2024 Accepting new patients
Henry County Hospital Inc CurrentSince Apr 1, 2024 Accepting new patients
Promedica Central Physicians CurrentSince Oct 20, 2024 Accepting new patients

Locations

1600 E Riverview Ave
Napoleon, OH 43545
Phone (260) 344-3045

1600 E Riverview Ave
Ste 106
Napoleon, OH 43545

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

4235 Secor Rd
Toledo, OH 43623
Phone (419) 214-4214

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1821659764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16764 COUNTY ROAD U",
            "city": "NAPOLEON",
            "state": "OH",
            "postal_code": "435459753",
            "telephone_number": "419-591-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6819 SPRING VALLEY DR",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435289487",
            "telephone_number": "419-930-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDRICH",
        "first_name": "DAWN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "CNP024872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, OH

Sources for this page

Verify at the official NPI Registry.