Provider Demographics
NPI:1245378843
Name:UMOETTE, SABATHA BEATRICE (PMHNP-BC)
Entity type:Individual
Prefix:MS
First Name:SABATHA
Middle Name:BEATRICE
Last Name:UMOETTE
Suffix:
Gender:
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5900 ROCHE DR STE 260B
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-3272
Mailing Address - Country:US
Mailing Address - Phone:614-792-1030
Mailing Address - Fax:614-686-2933
Practice Address - Street 1:5900 ROCHE DR STE 260B
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-3272
Practice Address - Country:US
Practice Address - Phone:614-448-7614
Practice Address - Fax:614-686-2933
Is Sole Proprietor?:No
Enumeration Date:2007-02-03
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN. 248359163WC1500X
OH0030383363L00000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0083003Medicaid
OH2499587Medicaid
OH1144335274Medicaid