Healthcare Provider Details

I. General information

NPI: 1427885383
Provider Name (Legal Business Name): KRISHIKA SIWAKOTI FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2024
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3101 BURNET AVE
CINCINNATI OH
45229-3014
US

IV. Provider business mailing address

6723 ENGLISH OAKS STA
LIBERTY TOWNSHIP OH
45044-9261
US

V. Phone/Fax

Practice location:
  • Phone: 513-357-7289
  • Fax:
Mailing address:
  • Phone: 513-478-0539
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN.494868
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: