Provider Demographics
NPI:1386870020
Name:BILLS, SARAH FAITH (APRN)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:FAITH
Last Name:BILLS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:FAITH
Other - Last Name:SHAW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6480 HARRISON AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45247-7961
Mailing Address - Country:US
Mailing Address - Phone:513-354-7650
Mailing Address - Fax:513-354-7651
Practice Address - Street 1:600 RODEO DR
Practice Address - Street 2:
Practice Address - City:ERLANGER
Practice Address - State:KY
Practice Address - Zip Code:41018-1279
Practice Address - Country:US
Practice Address - Phone:513-354-3700
Practice Address - Fax:859-905-1039
Is Sole Proprietor?:No
Enumeration Date:2009-06-09
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3006032363L00000X
KY1092455163W00000X
IN71002936A363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100192620Medicaid
KYK015560Medicare PIN