Individual provider Active NPI

Nana F Sikot, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Liberty TWP, OH
National Provider Identifier
1871351130
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0037841 Issued in OH
Practice address
4395 Watoga Dr
Liberty TWP, OH 45011-2746
Phone
(602) 668-8946
NPI assigned
Mar 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 489728 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0037841 OH Primary

Addresses

Primary practice location

4395 Watoga Dr
Liberty TWP, OH 45011-2746

Mailing address

4395 Watoga Dr
Liberty TWP, OH 45011-2746
Phone (602) 668-8946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
489728OHMDHome Health Registered Nurse
0037841OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Juliakings Care & Co LLC CurrentSince Jun 30, 2024 Accepting new patients
Graceful Care & Wellness LLC PastSince Mar 17, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1871351130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4395 WATOGA DR",
            "city": "LIBERTY TWP",
            "state": "OH",
            "postal_code": "450112746",
            "telephone_number": "602-668-8946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4395 WATOGA DR",
            "city": "LIBERTY TWP",
            "state": "OH",
            "postal_code": "450112746",
            "telephone_number": "602-668-8946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIKOT",
        "first_name": "NANA",
        "middle_name": "F",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OH",
            "license": "489728",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0037841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty TWP, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.