Individual provider Active NPI

Ken Aniekwe

  • Licensed Practical Nurse
  • Washington, DC
National Provider Identifier
1184028748
Registry record updated Oct 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN960100 Issued in DC
Practice address
2512 24TH St NE
Washington, DC 20018-2126
Phone
(202) 832-8340
Fax
(202) 832-8341
NPI assigned
Oct 10, 2014
Sex
Male
Sole proprietor
Yes

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
LPN960100DCMDLicensed Practical Nurse

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN960100 DC Primary

Addresses

NPPES NPI Registry

Primary practice location

2512 24TH St NE
Washington, DC 20018-2126

Mailing address

2512 24TH St NE
Washington, DC 20018-2126
Phone (202) 832-8340

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 10, 2014.

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412899200000",
    "number": "1184028748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 24TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200182126",
            "telephone_number": "202-832-8340",
            "fax_number": "202-832-8341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 24TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200182126",
            "telephone_number": "202-832-8340",
            "fax_number": "202-832-8341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANIEKWE",
        "first_name": "KEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-10",
        "last_updated": "2014-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "DC",
            "license": "LPN960100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; 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.