IndividualActive
Andie Lariccia
NPI 1326911694 · Physician Assistant · Kettering, OH
Provider details
- NPI number
- 1326911694
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 50.010007RX (OH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
12 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3535 Southern Blvd
Kettering, OH 45429-1221
Phone: (937) 395-8166
Street-level locationGet directions
Mailing address
3131 Newmark Dr Ste 220
Miamisburg, OH 45342-5400
Additional practice locations (11)
- 3535 Pentagon BlvdBeavercreek, OH 45431-1705Phone: (937) 702-4500
- 1997 Miamisburg Centerville RdCenterville, OH 45459-3811Phone: (937) 401-6228
- 405 W Grand AveDayton, OH 45405-7538Phone: (937) 723-3211
- 450 Washington Jackson RdEaton, OH 45320-8699Phone: (937) 456-8376
- 100 Kettering WayFranklin, OH 45005-1155Phone: (937) 458-4700
- 8701 Old Troy PikeHuber Heights, OH 45424-1066Phone: (937) 558-3338
- 4000 Miamisburg Centerville RdMiamisburg, OH 45342-7615Phone: (937) 384-8791
- 6147 State Route 122Middletown, OH 45005-5201Phone: (513) 261-3410
- 2300 N Limestone StSpringfield, OH 45503-1102Phone: (937) 504-8305
Registry dates
- Enumerated
- 2025-09-24
- Last updated
- 2026-02-03
- Certified
- 2026-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.