Healthcare Provider Details

I. General information

NPI: 1295630382
Provider Name (Legal Business Name): SARAH MARIE PIATT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6847 N CHESTNUT ST
RAVENNA OH
44266-3929
US

IV. Provider business mailing address

615 E SMITH RD
MEDINA OH
44256-2639
US

V. Phone/Fax

Practice location:
  • Phone: 330-297-0811
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPRN.CNM.0019743
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberL-305463
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: