MRS. SARAH GRACE OTTO (NPI# 1124119607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124119607 |
| Entity Type | Individual |
| Full Name | MRS. SARAH GRACE OTTO |
| Credential | CNP |
| Practice Address |
540 Officenter Pl Suite 240 Gahanna OH 43230-5317 |
| Mailing Address |
700 Ackerman Rd Suite 385 Columbus OH 43202-1559 |
| Practice Telephone | 6142931707 |
| Practice Fax Number | 6142931716 |
| Mailing Telephone | 6149473700 |
| Mailing Fax Number | 6149473771 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2012-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | COA09003NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3002360 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346703113 | Sarah E Otto | Nurse Practitioner | 225 Veterans Rd Ste 202, Yorktown Heights, NY 10598-4437 | 2019-04-09 |
| Street Address |
540 OFFICENTER PL SUITE 240 |
| City | GAHANNA |
| State | OH |
| Zip Code | 43230-5317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386634608 | Signature Health Services, LLC | Home Health | 540 Officenter Pl, Suite 295, Gahanna, OH 43230-5317 | 2005-10-27 |
| 1386063642 | Catherine Ann Ulman | Dermatology | 540 Officenter Pl, Gahanna, OH 43230-5317 | 2014-04-15 |
| 1942630876 | Jordan Blair Gemzer | Counselor | 540 Officenter Pl, Suite 290, Gahanna, OH 43230-5317 | 2013-11-13 |
| 1457785610 | John Christopher Lorenzo Trinidad | Dermatology | 540 Officenter Pl, 240, Gahanna, OH 43230-5317 | 2013-08-23 |
| 1700128584 | Desmond M Shipp | Dermatology | 540 Officenter Pl, Gahanna, OH 43230-5317 | 2013-03-20 |
| 1053668681 | Melissa L. Edelmayer | Counselor | 540 Officenter Pl, Suite 270, Gahanna, OH 43230-5317 | 2012-08-14 |
| 1164798500 | Stephanie K. Fabbro | Dermatology | 540 Officenter Pl, Gahanna, OH 43230-5317 | 2012-03-29 |
| 1326332792 | Llana Pootrakul | Dermatology | 540 Officenter Pl, Suite 240, Gahanna, OH 43230-5317 | 2011-06-02 |
| 1700175445 | Mahwish Irfan | Dermatology | 540 Officenter Pl, Suite 240, Gahanna, OH 43230-5317 | 2011-04-04 |
| 1629367867 | Jennifer Anne Sopkovich | Dermatology | 540 Officenter Pl, Suite 240, Gahanna, OH 43230-5317 | 2011-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518695 | Adonna Fuller | Technician | 14o Imperial Drive, Apt 120, Gahanna, OH 43230 | 2020-11-02 |
| 1407471733 | Brent Flory | Counselor | 425 South Hamilton, Gahanna, OH 43230 | 2020-06-12 |
| 1245865252 | Amy Marie Cosma | Registered Nurse | 750 Cross Pointe Road, Suite D, Gahanna, OH 43230 | 2020-03-10 |
| 1447718010 | Yolanda Renee Davis | Case Manager/Care Coordinator | 1490 E Main St., Columbus, OH 43230 | 2019-03-03 |
| 1699261537 | Cap City Supported Living & Homecare Services, LLC | Home Health | 2305 South Hamilton Road, Suite 216, Columbus, OH 43230 | 2018-07-03 |
| 1467957183 | Kendra Marie Peterson | Specialist/Technologist | 1011 Arcaro Drive, Gahanna, OH 43230 | 2018-03-26 |
| 1467956805 | Beatrice Njeri Gachoro | Registered Nurse | 4484 Shady Blossom Ln, Columbus, OH 43230 | 2018-03-21 |
| 1760900211 | Centra Home Health Care, LLC | Home Health | 4745 Legare Ln, Columbus, OH 43230 | 2017-09-05 |
| 1386164325 | Ziad Al Hennawi | Dentist | 4034 Morse Rd, Columbus, OH 43230 | 2017-06-21 |
| 1336675503 | Fresenius Medical Care New Albany, LLC | Clinic/Center | 991 E Johnstown Rd, Gahanna, OH 43230 | 2017-05-10 |
| Find all providers in zip 43230 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548827439 | Brittney Anne Burnworth | Nurse Practitioner | 4605 Morse Rd, Gahanna, OH 43230-7300 | 2019-05-25 |
| 1154805216 | Whitney Anne Staub | Nurse Practitioner | 701 Tech Center Dr Ste 100, Gahanna, OH 43230-1987 | 2018-09-24 |
| 1447760251 | Cassandra Concetta Heller | Nurse Practitioner | 701 Tech Center Dr Ste 100, Gahanna, OH 43230-1987 | 2017-10-06 |
| 1427574961 | Allison Schryver | Nurse Practitioner | 300 S Hamilton Rd, Gahanna, OH 43230-3308 | 2017-08-16 |
| 1356774574 | Nicole D Shroyer | Nurse Practitioner | 1250 N Hamilton Rd, Gahanna, OH 43230 | 2013-08-12 |
| 1689924623 | Lindsey Bronstein | Nurse Practitioner | 920 N Hamilton Rd Ste 400, Gahanna, OH 43230-1757 | 2012-09-18 |
| 1508116203 | Andrea R. Cooper | Nurse Practitioner | 920 N Hamilton Rd, Gahanna, OH 43230-1757 | 2012-09-11 |
| 1588832356 | Self-employed Np Development Co., LLC | Nurse Practitioner | 104 N Stygler Rd, Gahanna, OH 43230-2437 | 2008-02-14 |
| 1316970007 | Kristine K Wickes | Nurse Practitioner | 765 N Hamilton Rd, Suite 120, Gahanna, OH 43230-8703 | 2006-07-08 |
| 1922040880 | Joy R Shoemaker | Nurse Practitioner | 920 N Hamilton Rd, Gahanna, OH 43230-1757 | 2006-06-12 |
| Find all providers in GAHANNA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.