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Amy M Vervalin , LPN

Licensed Practical Nurse β€’ Dayton, OH

Deactivated NPI 1215413398 Deactivated in NPPES Female Practitioner
Practice location in NPPES

601 S Edwin C Moses Blvd, 4th Floor Nw Building
Dayton, OH 454173424

Phone: 9377348333

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of October 22, 2026; the reason is not published. The records below are historical. They do not show whether Amy Vervalin currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date July 12, 2018
NPI Deactivation Date October 22, 2026
NPI Active Period 2018 – 2026

Practice Location & Contact Primary Location

Practice Address

601 S Edwin C Moses Blvd
4th Floor Nw Building

Dayton, OH 454173424

Telephone 9377348333
Organization at the Same NPPES Address or Phone
Samaritan Behavioral Health, Inc. Facility NPI 1205888641

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Dayton and Ohio

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES OH LPN163391

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
April Sperry , FNP

Nurse Practitioner - Family

NPI 1114422458

Family Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated October 22, 2026

NPPES lists this NPI as deactivated as of October 22, 2026; the reason is not published.

βœ…
NPI Profile Active July 12, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 12, 2018

Registered at 601 S EDWIN C MOSES BLVD, 4TH FLOOR NW BUILDING, DAYTON, OH 454173424 (Tel: 9377348333)

πŸ“
Business Mailing Address (Initial Record) July 12, 2018

Registered at 601 S EDWIN MOSES BLVD, 4TH FLOOR NW BUILDING, DAYTON, OH 454173424 (Tel: 9377348333)

πŸ‘€
Provider Name / Credentials (Initial Record) July 12, 2018

Recorded as AMY VERVALIN, LPN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2018

Licensed Practical Nurse (license number reported to NPPES: OH LPN163391)

🟒
Initial NPI Registration & Enumeration July 12, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1215413398
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2018
Last Update: July 12, 2018
Deactivation Date: October 22, 2026
Sole Proprietor: No

Mailing Address

601 S Edwin Moses Blvd, 4th Floor Nw Building

Dayton, OH 454173424

Phone: 9377348333

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.