Individual provider Active NPI

Keri A. Speicher, CNP

  • Family Nurse Practitioner
  • Youngstown, OH
National Provider Identifier
1891066809
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.13019 Issued in OH
Practice address
7600 Southern Blvd Ste 1
Youngstown, OH 44512-6085
Phone
(330) 549-8024
Fax
(330) 702-1287
NPI assigned
Jan 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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.13019 OH Primary

Addresses

Primary practice location

7600 Southern Blvd Ste 1
Youngstown, OH 44512-6085

Mailing address

100 Debartolo PL Ste 200
Youngstown, OH 44512-6095
Phone (330) 549-8024

Other identifiers 1

IdentifierTypeStateIssuer
0060569MedicaidOH

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
I20120417000740 OH Practitioner - Nurse Practitioner 6800057902 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triad Health Services LLCGroup PAC ID 9032367917, 252 clinicians

Practice addresses (Care Compare)

4135 Boardman Canfield Rd
Suite 202
Canfield, OH 44406-9803
Phone (330) 967-4660

7600 Southern Blvd
Youngstown, OH 44512-6085

7629 Market St
Youngstown, OH 44512-6051

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.13019OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Women, Inc. CurrentSince Feb 18, 2017 Accepting new patients
Triad Health Services, LLC Family CurrentSince Jun 1, 2025 Accepting new patients
Radiology Associates of Canton, Inc. Past Accepting new patients
The Surgery Center at Southwoods, LLC Past Accepting new patients

Locations

4139 Boardman Canfield Rd
Ste 1
Canfield, OH 44406
Phone (300) 702-1281

4139 Boardman Canfield Rd
Canfield, OH 44406
Phone (330) 702-1281

100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828

7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480

7600 Southern Blvd
Ste 1
Youngstown, OH 44512
Phone (330) 629-8466

Organizations & group practices 4

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 4

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": "1327276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1891066809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DEBARTOLO PL STE 200",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445126095",
            "telephone_number": "330-549-8024",
            "fax_number": "330-702-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 SOUTHERN BLVD STE 1",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445126085",
            "telephone_number": "330-549-8024",
            "fax_number": "330-702-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEICHER",
        "first_name": "KERI",
        "middle_name": "A.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-23",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.13019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0060569",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.