Individual provider Active NPI

Jessica Dayton, CNP

  • Family Nurse Practitioner
  • Mason, OH
National Provider Identifier
1962040394
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.025762 Issued in OH
Practice address
6413 Thornberry CT
Mason, OH 45040-7821
Phone
(513) 770-0787
Fax
(513) 770-0144
NPI assigned
Dec 16, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 374079 OH
Family Nurse Practitioner 363LF0000X 3016094 KY
Family Nurse Practitioner 363LF0000X APRN.CNP.025762 OH Primary

Addresses

Primary practice location

6413 Thornberry CT
Mason, OH 45040-7821

Mailing address

6413 Thornberry CT
Mason, OH 45040-7821
Phone (513) 770-0787

Other identifiers 1

IdentifierTypeStateIssuer
7100733780MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2022 through Apr 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
374079OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Amy Brenner MD & Associates, LLC CurrentSince Jul 22, 2025 Accepting new patients

Locations

6413 Thornberry Ct
Mason, OH 45040
Phone (513) 770-0787

Organizations & group practices 1

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": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1962040394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6413 THORNBERRY CT",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450407821",
            "telephone_number": "513-770-0787",
            "fax_number": "513-770-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6413 THORNBERRY CT",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450407821",
            "telephone_number": "513-770-0787",
            "fax_number": "513-770-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAYTON",
        "first_name": "JESSICA",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-16",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "374079",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016094",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.025762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100733780",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

Verify at the official NPI Registry.