Active NPI
Nelson Ngwa Nfontoh, REGISTERED NURSE
- General Practice Registered Nurse
- Des Moines, IA
National Provider Identifier
1144815978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- 149680
- Practice address
- 922 8TH St Apt 205
Des Moines, IA 50309-1216 - Phone
- (316) 293-9126
- NPI assigned
- Mar 3, 2021
- Last updated
- Mar 3, 2021
- 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 |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 149680 | IA | Primary |
Addresses
Primary practice location
922 8TH St Apt 205
Des Moines, IA 50309-1216
Mailing address
922 8TH St Apt 205
Des Moines, IA 50309-1216
Phone (316) 293-9126
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0334076AZ | Medicaid | IA |
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 |
|---|---|---|---|
| 149680 | IA | MD | General Practice Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspired Dreamer Home Care Inc | Current | Accepting new patients | |
| Inspired Dreamer Home Healthcare Inc | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- In Home Supportive Care Agency
- Des Moines, IA
- NPI 1003521972
-
- Home Health Agency
- Des Moines, IA
- NPI 1669187530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614729600000",
"number": "1144815978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "922 8TH ST APT 205",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503091216",
"telephone_number": "316-293-9126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "922 8TH ST APT 205",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503091216",
"telephone_number": "316-293-9126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NFONTOH",
"first_name": "NELSON",
"middle_name": "NGWA",
"name_prefix": "Mr.",
"credential": "REGISTERED NURSE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-03",
"last_updated": "2021-03-03",
"certification_date": "2021-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "IA",
"license": "149680",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0334076AZ",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.