Individual provider Active NPI

Benjamin Odoi Lartey, LPN

  • Licensed Practical Nurse
  • Fairfield, OH
National Provider Identifier
1063851699
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN 138024 Issued in OH
Practice address
1500 Sherwood Dr Apt 1M
Fairfield, OH 45014-4161
Phone
(513) 829-1195
NPI assigned
Jun 17, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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 138024 OH Primary

Addresses

Primary practice location

1500 Sherwood Dr Apt 1M
Fairfield, OH 45014-4161

Mailing address

1500 Sherwood Dr Apt 1M
Fairfield, OH 45014-4161
Phone (513) 829-1195

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 138024OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1063851699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SHERWOOD DR APT 1M",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450144161",
            "telephone_number": "513-829-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SHERWOOD DR APT 1M",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450144161",
            "telephone_number": "513-829-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARTEY",
        "first_name": "BENJAMIN",
        "middle_name": "ODOI",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN 138024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.