Active NPI
Wenceslous Kaswoswe
- Licensed Practical Nurse
- Canal Winchester, OH
National Provider Identifier
1104336825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 157398.MEDS-IV
- Practice address
- 8928 Shady Woods St
Canal Winchester, OH 43110-7973 - Phone
- (614) 338-9378
- NPI assigned
- Oct 8, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 157398.MEDS-IV | OH | Primary |
Addresses
Primary practice location
8928 Shady Woods St
Canal Winchester, OH 43110-7973
Mailing address
8928 Shady Woods St
Canal Winchester, OH 43110-7973
Phone (614) 338-9378
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
| License | State | Type | Specialty |
|---|---|---|---|
| 157398.MEDS-IV | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507420800000",
"number": "1104336825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8928 SHADY WOODS ST",
"city": "CANAL WINCHESTER",
"state": "OH",
"postal_code": "431107973",
"telephone_number": "614-338-9378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8928 SHADY WOODS ST",
"city": "CANAL WINCHESTER",
"state": "OH",
"postal_code": "431107973",
"telephone_number": "614-338-9378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASWOSWE",
"first_name": "WENCESLOUS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-10-08",
"last_updated": "2017-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "157398.MEDS-IV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canal Winchester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.