Individual provider Active NPI

Muniratu Abiola Lawal, LPN

  • Licensed Practical Nurse
  • Hamilton, OH
National Provider Identifier
1174889398
Registry record updated Oct 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
125176 Issued in OH
Practice address
996 Gordon Smith Blvd
Hamilton, OH 45013-5255
Phone
(860) 796-3862
Fax
(860) 308-2231
NPI assigned
Apr 2, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 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 Nurse 164W00000X 125176 OH Primary

Addresses

Primary practice location

996 Gordon Smith Blvd
Hamilton, OH 45013-5255

Mailing address

996 Gordon Smith Blvd
Hamilton, OH 45013-5255
Phone (860) 796-3862

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
125176OHMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Kure Home Care LLC Current Accepting new patients
Cozii Healthcare & Staffing LTD 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507075200000",
    "number": "1174889398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "996 GORDON SMITH BLVD",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450135255",
            "telephone_number": "860-796-3862",
            "fax_number": "860-308-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "996 GORDON SMITH BLVD",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450135255",
            "telephone_number": "860-796-3862",
            "fax_number": "860-308-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWAL",
        "first_name": "MUNIRATU",
        "middle_name": "ABIOLA",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-02",
        "last_updated": "2017-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "125176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.