Amanda M Bohannon, FNP-BC
Nurse Practitioner, Family in Sharonville, OH. Individual provider (NPI-1).
NPI number1356723902
StatusActive
Last updated in NPPESSep 20, 2021
Details
- NPI
- 1356723902
- Entity type
- Individual (NPI-1)
- Name
- Ms. Amanda M Bohannon
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 19, 2015
- Certification date
- Sep 20, 2021
- Last updated
- Sep 20, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | COA.17292-NP | OH | Yes |
Other names
- Amanda Casada (Former Name)
Practice location
12110 Lebanon RdSharonville, OH 45241-1739
Phone 513-853-9700
Mailing address
12110 Lebanon RdSharonville, OH 45241-1739
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 7 Family Nurse Practitioner providers in Sharonville · All 127 providers in Sharonville
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