Individual provider Active NPI

Sandra Rose Annor, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Covington, KY
National Provider Identifier
1982960332
Registry record updated Feb 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.020263 Issued in OH
Practice address
50 E Rivercenter Blvd Ste 434
Covington, KY 41011-1660
Phone
(833) 358-2278
NPI assigned
Apr 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.020263 OH Primary
Registered Nurse 163W00000X RN 343896 OH

Addresses

Primary practice location

50 E Rivercenter Blvd Ste 434
Covington, KY 41011-1660

Mailing address

1514 N Wood Creek Dr
Centerville, OH 45458-9747
Phone (937) 829-6197

Other practice location 1

5151 Pfeiffer Rd Ste 350
Blue Ash, OH 45242-4854
Phone (833) 358-2036

Other practice location 2

2615 Derr Road
Springfield, OH 45503
Phone (800) 427-1902

Other practice location 3

1514 N Wood Creek Dr
Centerville, OH 45458-9747
Phone (937) 829-6197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20260414002121 NY Practitioner - Nurse Practitioner 9133488554 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Daniel Funsch Jr MD PC 139 clinicians

Practice addresses (Care Compare)

20 Maitland St
Concord, NH 03301-3534
Phone (212) 734-6621

20265 Emery Rd
Cleveland, OH 44128-4122
Phone (212) 734-6621

23 Fair St
Bristol, CT 06010-5531
Phone (212) 734-6621

300 Good Samaritan Dr
Suite 1501
Mountain Home, AR 72653-5813
Phone (212) 734-6621

300 Spring St
Westbrook, ME 04092-3915
Phone (212) 734-6621

596 Sheldon Rd
Saint Albans, VT 05478-8011
Phone (212) 734-6621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN 343896OHMDRegistered Nurse
10030CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, PLLC PastSince Sep 11, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sannor@landmarkhealth-direct.org

Organizations & group practices 6

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": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771632000000",
    "number": "1982960332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 N WOOD CREEK DR",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454589747",
            "telephone_number": "937-829-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E RIVERCENTER BLVD STE 434",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410111660",
            "telephone_number": "833-358-2278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5151 Pfeiffer Rd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Blue Ash",
            "state": "OH",
            "postal_code": "452424854",
            "country_code": "US",
            "telephone_number": "833-358-2036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2615 DERR ROAD",
            "address_purpose": "LOCATION",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "45503",
            "country_code": "US",
            "telephone_number": "800-427-1902",
            "fax_number": "419-531-2664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1514 N Wood Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454589747",
            "country_code": "US",
            "telephone_number": "937-829-6197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANNOR",
        "first_name": "SANDRA",
        "middle_name": "ROSE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-10",
        "last_updated": "2026-02-21",
        "certification_date": "2026-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.020263",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN 343896",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, KY

Sources for this page

Verify at the official NPI Registry.