Individual provider Active NPI

Connie Therese Spahn, CNP

  • Family Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1831678697
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.023158 Issued in OH
Practice address
553 E Manhattan Blvd
Toledo, OH 43608-1216
Phone
(419) 219-7001
Fax
(567) 316-6462
NPI assigned
Aug 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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 APRN.CNP.023158 OH Primary

Addresses

Primary practice location

553 E Manhattan Blvd
Toledo, OH 43608-1216

Mailing address

PO Box 746071
Atlanta, GA 30374-6071
Phone (312) 733-9730

Other identifiers 1

IdentifierTypeStateIssuer
0315757MedicaidOH

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
I20181005001800 OH Practitioner - Nurse Practitioner 4981956703 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh-Oh Physicians Group PCGroup PAC ID 1759639693, 67 clinicians

Practice addresses (Care Compare)

10553 Saint Clair Ave
Cleveland, OH 44108-1973
Phone (216) 682-7702

553 E Manhattan Blvd
Toledo, OH 43608-1216
Phone (419) 219-7001

Hospital & facility affiliations

  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Association of Toledo, Inc. Current Accepting new patients
Neighborhood Health Association of Toledo, Inc. CurrentSince Jan 22, 2019 Accepting new patients
Neighborhood Health Association of Toledo, Inc. Current Accepting new patients
Neighborhood Health Association of Toledo, Inc. CurrentSince Jan 22, 2019 Accepting new patients
Neighborhood Health Association of Toledo, Inc Current Accepting new patients
Osh-Oh Physicians Group PC CurrentSince Dec 30, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

10553 Saint Clair Ave
Cleveland, OH 44108
Phone (216) 682-7702

313 Jefferson Ave
Toledo, OH 43604
Phone (419) 214-1770

1415 Jefferson Ave
Toledo, OH 43604
Phone (419) 214-5700

Interoperability endpoints

  • Direct secure messaging: conniespahn@nha.allscriptsdirect.net

Organizations & group practices 7

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": "1533945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1831678697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746071",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746071",
            "telephone_number": "312-733-9730",
            "fax_number": "773-866-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 E MANHATTAN BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436081216",
            "telephone_number": "419-219-7001",
            "fax_number": "567-316-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAHN",
        "first_name": "CONNIE",
        "middle_name": "THERESE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-11",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.023158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0315757",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.