Individual provider Active NPI

Idowu Olamide Ogunseyin, LPN

  • Licensed Practical Nurse
  • Columbus, OH
National Provider Identifier
1053624783
Registry record updated Jul 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN: 131564 Issued in OH
Practice address
5732 Pine Tree St W
Apt.K
Columbus, OH 43229-3789
Phone
(614) 806-9087
NPI assigned
Jul 22, 2010
Last updated
Jul 22, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2010

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 PN: 131564 OH Primary

Addresses

Primary practice location

5732 Pine Tree St W
Apt.K
Columbus, OH 43229-3789

Mailing address

5732 Pine Tree St W
Apt.K
Columbus, OH 43229-3789
Phone (614) 806-9087

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
PN: 131564OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279756800000",
    "number": "1053624783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5732 PINE TREE ST W",
            "address_2": "APT.K",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293789",
            "telephone_number": "614-806-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5732 PINE TREE ST W",
            "address_2": "APT.K",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293789",
            "telephone_number": "614-806-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNSEYIN",
        "first_name": "IDOWU",
        "middle_name": "OLAMIDE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-22",
        "last_updated": "2010-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN: 131564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.