Individual provider Active NPI

Elizabeth Fox

  • Psychiatric/Mental Health Nurse Practitioner
  • West Chester, OH
National Provider Identifier
1891303046
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0033191 Issued in OH
Practice address
8945 Brookside Ave Ste 202
West Chester, OH 45069-7123
Phone
(513) 914-3673
Fax
(513) 914-3673
NPI assigned
Jul 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.430793 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0033191 OH Primary

Addresses

Primary practice location

8945 Brookside Ave Ste 202
West Chester, OH 45069-7123

Mailing address

8945 Brookside Ave Ste 202
West Chester, OH 45069-7123
Phone (513) 914-3673

Other practice location 1

9049 Springboro Pike
Miamisburg, OH 45342-4926
Phone (937) 759-0545

Other practice location 2

820 S Martin Luther King Jr Blvd
Hamilton, OH 45011-3216
Phone (513) 887-8500

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
I20230406001456 OH Practitioner - Nurse Practitioner 4880069780 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN.430793OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Kudose Mental Health LLC CurrentSince Mar 1, 2025 Accepting new patients
WS Wellness LLC Psychiatric/Mental Health CurrentSince Feb 2, 2023 Accepting new patients
Sirona Mental Wellness, LLC Psychiatric/Mental Health CurrentSince Dec 1, 2024 Accepting new patients

Locations

1911 Old Fairfield Rd
Ste 310
Beavercreek, OH 45432
Phone (937) 759-0545

3330 Erie Ave
Ste 7
Cincinnati, OH 45208
Phone (937) 759-0545

9049 Springboro Pike
Miamisburg, OH 45342
Phone (937) 759-0545

9049 Springboro Pike
Ste A
Miamisburg, OH 45342
Phone (937) 759-0545

8945 Brookside Ave
Ste 202
West Chester, OH 45069
Phone (513) 914-3673

8200 Beckett Park Dr
Ste 111
West Chester, OH 45069
Phone (513) 463-2555

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.

NPI Registry JSON

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1891303046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8945 BROOKSIDE AVE STE 202",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450697123",
            "telephone_number": "513-914-3673",
            "fax_number": "513-914-3673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8945 BROOKSIDE AVE STE 202",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450697123",
            "telephone_number": "513-914-3673",
            "fax_number": "513-914-3673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9049 Springboro Pike",
            "address_purpose": "LOCATION",
            "city": "Miamisburg",
            "state": "OH",
            "postal_code": "453424926",
            "country_code": "US",
            "telephone_number": "937-759-0545",
            "fax_number": "937-759-0549",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 S Martin Luther King Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "OH",
            "postal_code": "450113216",
            "country_code": "US",
            "telephone_number": "513-887-8500",
            "fax_number": "513-737-8196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOX",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.430793",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0033191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

Verify at the official NPI Registry.