NPIMap

Organization Active NPI

Dunamis Auxano LLC

Doing business as Family Health and Healing Clinic

  • Family Nurse Practitioner
  • Loudonville, OH
National Provider Identifier
1972808848
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA11616-NP Issued in OH
Legal business name
DUNAMIS AUXANO LLC
Doing business as
Family Health and Healing Clinic
Practice address
121 W Main St
Loudonville, OH 44842-1247
Phone
(419) 994-0212
Fax
(419) 994-0215
NPI assigned
Jan 24, 2011
Last updated
Oct 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

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

Authorized official

Name
Mrs. Daniele C. Marsh, N.P.NPI 1689986846
Title
Managing Partner
Phone
(740) 507-7428

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X COA11616-NP OH Primary

Addresses

Primary practice location

121 W Main St
Loudonville, OH 44842-1247

Mailing address

121 W Main St
Loudonville, OH 44842-1247
Phone (419) 994-0212

Other identifiers 1

IdentifierTypeStateIssuer
3091238MedicaidOH

Other names 1

  • Family Health and Healing Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380585600000",
    "number": "1972808848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W MAIN ST",
            "city": "LOUDONVILLE",
            "state": "OH",
            "postal_code": "448421247",
            "telephone_number": "419-994-0212",
            "fax_number": "419-994-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W MAIN ST",
            "city": "LOUDONVILLE",
            "state": "OH",
            "postal_code": "448421247",
            "telephone_number": "419-994-0212",
            "fax_number": "419-994-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNAMIS AUXANO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-24",
        "last_updated": "2013-10-01",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "DANIELE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "740-507-7428",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "N.P."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA11616-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3091238",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Health and Healing Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loudonville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; 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.