Individual provider Active NPI

Amanda Schab

  • Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1962925594
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.021808 Issued in OH
Practice address
3333 Burnet Ave
Cincinnati, OH 45229
Phone
(513) 803-2978
NPI assigned
Jul 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 4704285217 MI
Nurse Practitioner 363L00000X APRN.CNP.021808 OH Primary

Addresses

Primary practice location

3333 Burnet Ave
Cincinnati, OH 45229

Mailing address

3333 Burnet Ave
Cincinnati, OH 45229-3026

Other practice location 1

3740 W Sylvania Ave Ste 250
Toledo, OH 43623-4493
Phone (419) 473-6670

Other practice location 2

3740 W Sylvania Ave Ste 250
Toledo, OH 43623-4493
Phone (419) 473-6670

Other practice location 3

3309 Quail Hollow Dr Ste C
Lambertville, MI 48144-8688
Phone (734) 854-2428

Other practice location 4

3156 Dustin Rd Ste 300
Oregon, OH 43616-4300
Phone (419) 697-6777

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
I20190930001612 OH Practitioner - Nurse Practitioner 1759611023 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.021808OHMDNurse Practitioner
4704285217MIMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Medical Center Nurse Practitioner CurrentSince Aug 11, 2019 Accepting new patients
The Pediatric Center, Inc. Past Accepting new patients

Locations

3341 Solutions Ctr
Chicago, IL 60677

3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200

3333 Burnet Ave
#5021
Cincinnati, OH 45229
Phone (513) 636-4225

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": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1962925594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45229",
            "telephone_number": "513-803-2978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3740 W Sylvania Ave Ste 250",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436234493",
            "country_code": "US",
            "telephone_number": "419-473-6670",
            "fax_number": "419-473-9959",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3740 W Sylvania Ave Ste 250",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436234493",
            "country_code": "US",
            "telephone_number": "419-473-6670",
            "fax_number": "419-473-9959",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3309 Quail Hollow Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Lambertville",
            "state": "MI",
            "postal_code": "481448688",
            "country_code": "US",
            "telephone_number": "734-854-2428",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3156 Dustin Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Oregon",
            "state": "OH",
            "postal_code": "436164300",
            "country_code": "US",
            "telephone_number": "419-697-6777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHAB",
        "first_name": "AMANDA",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-25",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MI",
            "license": "4704285217",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.021808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.