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MY PRACTITONER FAMILY PRACTICE
NPI 1053657098
Clinical Nurse Specialist - Family Health in Amelia, OH

Active since December 19, 2012
2996 STATE ROUTE 132, AMELIA, OH 45102(513) 748-0874(513) 322-7989 Get Directions Write a Review

NPPES record last updated: July 19, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About My Practitoner Family Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MY PRACTITONER FAMILY PRACTICE (NPI 1053657098) is a healthcare organization registered as a family health in Amelia, Ohio and active in the NPI registry since December 2012. The organization lists Kathy Sue Brock, Owner, as its authorized official.

NPPES Registry Identity

NPI1053657098
Entity TypeOrganization
Primary Taxonomy364SF0001X
Legal Business NameMY PRACTITONER FAMILY PRACTICE
Location Address2996 STATE ROUTE 132Amelia, OH 45102-2404
Mailing Address2996 State Route 132Amelia, OH 45102-2404 · (513) 748-0874 · Fax (513) 322-7989
Phone(513) 748-0874
Fax(513) 322-7989
Organization SubpartNo
Authorized OfficialKathy Sue BrockOwner · (513) 748-0874
Enumeration DateDecember 19, 2012
Last NPPES UpdateJuly 19, 2013
✔ NPI 1053657098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Family HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SF0001X
License✔ Licensed in OH · COA.13223-NP
2996 STATE ROUTE 132, Amelia, OH 45102
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Other Identifiers 1

Medicare PINH080402OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is My Practitoner Family Practice's NPI number?

The NPI number for My Practitoner Family Practice is 1053657098. It was assigned to this organization in the NPPES registry on December 19, 2012.

Where is My Practitoner Family Practice located?

My Practitoner Family Practice is located at 2996 State Route 132, Amelia, OH 45102. The listed phone number is (513) 748-0874.

What is My Practitoner Family Practice's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Family Health, with taxonomy code 364SF0001X.

When was this NPI record last updated?

The NPPES record for My Practitoner Family Practice was last updated on July 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.