Individual provider Active NPI

Rugiatou Jallow, LPN

  • Licensed Practical Nurse
  • Galloway, OH
National Provider Identifier
1013208131
Registry record updated Apr 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
144378 Issued in OH
Practice address
5608 Red Carnation Dr
Galloway, OH 43119-8490
Phone
(614) 806-6633
NPI assigned
Apr 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 144378 OH Primary

Addresses

Primary practice location

5608 Red Carnation Dr
Galloway, OH 43119-8490

Mailing address

5608 Red Carnation Dr
Galloway, OH 43119-8490
Phone (614) 806-6633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
144378OHMDLicensed Practical Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303516800000",
    "number": "1013208131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5608 RED CARNATION DR",
            "city": "GALLOWAY",
            "state": "OH",
            "postal_code": "431198490",
            "telephone_number": "614-806-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5608 RED CARNATION DR",
            "city": "GALLOWAY",
            "state": "OH",
            "postal_code": "431198490",
            "telephone_number": "614-806-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALLOW",
        "first_name": "RUGIATOU",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-23",
        "last_updated": "2011-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "144378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.