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

Laney Sportsman, STUDENT

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417511023

Laney Sportsman, STUDENT is a Physician Assistant in Blue Ash, Ohio. Qualified in 2019, 7 years ago. Practices with Mercy Health Physicians Cincinnati Specialty Care LLC, a 344-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
7
Licensed in
OH
In the registry since
2019
Specialties on file
2

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Blue Ash, OH
Fax: (513) 733-8588

Additional practice locations (2)

  • 2321 Rutger St Apt E, Saint Louis, MO 63104-2444 — (513) 720-0722
  • 5759 Chancery Pl, Liberty Twp, OH 45011-8720 — (513) 720-0722

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.006409RX (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417511023
Entity typeIndividual (Type 1)
GenderFemale
Credentials STUDENT
Sole proprietorNo
NPI enumeratedApril 29, 2019
Last updated in NPPESFebruary 28, 2022
Certification dateFebruary 28, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Mercy Health Physicians Cincinnati Specialty Care Llc — 344 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Blue Ash