Provider Demographics
NPI:1942997291
Name:SONTERRE, KAYSEA SHEA (RN, CNP)
Entity type:Individual
Prefix:
First Name:KAYSEA
Middle Name:SHEA
Last Name:SONTERRE
Suffix:
Gender:F
Credentials:RN, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7800 MONTGOMERY RD UNIT 253
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-4306
Mailing Address - Country:US
Mailing Address - Phone:513-832-6855
Mailing Address - Fax:
Practice Address - Street 1:7800 MONTGOMERY RD UNIT 253
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-4306
Practice Address - Country:US
Practice Address - Phone:513-832-6855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-18
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.475383163W00000X
OHAPRN.CNP.0038356363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse