Individual provider Active NPI

Wenceslous Kaswoswe

  • Licensed Practical Nurse
  • Canal Winchester, OH
National Provider Identifier
1104336825
Registry record updated Oct 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
157398.MEDS-IV Issued in OH
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

Updated by the provider on Oct 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
157398.MEDS-IVOHMDLicensed 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.

Verify at the official NPI Registry.