Individual provider Active NPI

Deshay Marie Scandrick, CNP

  • Family Nurse Practitioner
  • Kettering, OH
National Provider Identifier
1851531628
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.10335 Issued in OH
Practice address
4441 Far Hills Ave
Kettering, OH 45429-2405
Phone
(937) 298-7351
Fax
(937) 522-9806
NPI assigned
Mar 5, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN-CNP-10335 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.10335 OH Primary

Addresses

Primary practice location

4441 Far Hills Ave
Kettering, OH 45429-2405

Mailing address

4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7351

Other identifiers 1

IdentifierTypeStateIssuer
2943944MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dscandrick512315@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

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
I20090619000326 OH Practitioner - Nurse Practitioner 4486705126 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alliance Physicians IncGroup PAC ID 0840104360, 314 clinicians

Practice addresses (Care Compare)

1625 S Alex Rd
West Carrollton, OH 45449-5404
Phone (937) 865-0534

1745 E Stroop Rd
Kettering, OH 45429-5039
Phone (937) 381-6340

4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 395-3920

4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7351

Hospital & facility affiliations

  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.10335OHMDFamily Nurse Practitioner
APRN-CNP-10335OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Urgent Care, Inc. CurrentSince Jan 13, 2019 Accepting new patients
Mvhe, Inc CurrentSince Jan 20, 2018 Accepting new patients
Mvhe Inc CurrentSince Jan 20, 2018 Accepting new patients
Alliance Physicians Inc CurrentSince Jan 7, 2019 Accepting new patients
Alliance Physicians Inc CurrentSince Jan 7, 2019 Accepting new patients
Mvhe Inc Current Accepting new patients
Osama Al-Samkari M.D. Inc Past Accepting new patients

Locations

627 S Edwin C Moses Blvd
Ste G
Dayton, OH 45417
Phone (937) 424-1000

3300 Philadelphia Dr
Dayton, OH 45405
Phone (937) 274-1501

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

323 Forest Ave
Dayton, OH 45405
Phone (937) 224-0793

301 W 1st St
Ste 100
Dayton, OH 45402
Phone (937) 461-0800

7740 Washington Village Dr
Ste 130
Dayton, OH 45459
Phone (513) 932-4891

111 Turner Rd
Dayton, OH 45415
Phone (937) 529-4376

1121 Linden Ave
Dayton, OH 45410
Phone (937) 258-1405

8290 Old Troy Pike
Ste 40A
Huber Heights, OH 45424
Phone (937) 208-4100

8701 Troy Pike
Ste 20
Huber Heights, OH 45424
Phone (937) 233-7146

4441 Far Hills Ave
Kettering, OH 45429
Phone (937) 298-7351

1425 E Stroop Rd
Kettering, OH 45429
Phone (937) 298-6654

8 Prestige Plaza Dr
Ste 107
Miamisburg, OH 45342
Phone (937) 208-6871

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

3038 Olive Rd
Trotwood, OH 45426
Phone (937) 208-7050

1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534

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 2

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": "1236211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1851531628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4441 FAR HILLS AVE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454292405",
            "telephone_number": "937-298-7351",
            "fax_number": "937-522-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4441 FAR HILLS AVE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454292405",
            "telephone_number": "937-298-7351",
            "fax_number": "937-522-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANDRICK",
        "first_name": "DESHAY",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-05",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN-CNP-10335",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.10335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2943944",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dscandrick512315@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "3300 Philadelphia Dr",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454051919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "3300 Philadelphia Dr",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454051919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

Verify at the official NPI Registry.