Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fanta Beretay

Individual provider Nurse Practitioner · NPI 1801045695

Fanta Beretay is a Nurse Practitioner in Grove City, Ohio. Qualified in 2016, 10 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
10
Licensed in
OH
In the registry since
2008
Specialties on file
3

Practice location Address checks out

5783 Daffodil Ct
Grove City, OH 43123-9456
Phone: (614) 991-4895
Fax: (614) 991-4895
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN.CNP.020429 (OH)
Nurse Practitioner Taxonomy 363L00000X · Licence APRNCNP020429 (OH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN.CNP.020429 (OH)

Record details

NPI number1801045695
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 16, 2008
Last updated in NPPESJune 28, 2023
Certification dateJune 28, 2023
Mailing address5783 Daffodil Ct, Grove City, OH 43123-9456

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Grove City