Fitmind Mental Health Practice, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

FITMIND MENTAL HEALTH PRACTICE, LLC

Practice address

1244 Nilles Rd Ste 10
Fairfield, OH 45014-2788

Phone

(513) 858-2732

NPI assigned

Sep 27, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Shulammite Fanegan, APRNNPI 1912207408

Title

Pmhnp-BC

Phone

(513) 858-2732

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shulammite Fanegan, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Cincinnati, OH
  • NPI 1912207408

  Psychiatric/Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1992429666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5759 GLEN ABBY CT",
            "city": "LIBERTY TWP",
            "state": "OH",
            "postal_code": "450112270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 NILLES RD STE 10",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450142788",
            "telephone_number": "513-858-2732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITMIND MENTAL HEALTH PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-27",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "FANEGAN",
        "authorized_official_first_name": "SHULAMMITE",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "513-858-2732",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Adam Fightmaster
• Kellie Fightmaster
• Zykel Sade Finch
• Douglas C Finefrock, D.O.
• First Advantage Homecare LLC
• Jessica Marie Fitzhugh, LPN
• James E Fitzpatrick, MD
• Janine Fitzwater, LPN
• Five Suns Pediatric Therapy
• Cheryl Flannery, CDCA

• All providers in Fairfield, OH
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.