Damen Atile Mbu, RN

Primary specialty

Chore ProviderTaxonomy code 372500000X

Practice address

962 Bruce Dr
Kent, OH 44240-2063

Phone

(770) 837-6595

NPI assigned

Oct 2, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1184442790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "962 BRUCE DR",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442402063",
            "telephone_number": "770-837-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "962 BRUCE DR",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442402063",
            "telephone_number": "770-837-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBU",
        "first_name": "DAMEN",
        "middle_name": "ATILE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John K Maskarinec, D.O.
• Tynia S Mason
• Ernest Anthony Mastroianni, D.D.S.
• Shakinah Patrice Mathers
• Jordyn E Mazzola, CDCA
• Jasmyn McClain
• Jennifer McClain
• Shavon McClendon
• Lauren Pilar McClung, CDCA PRELIMINARY
• Leslie Elaine McClure, PSY.D.

• Chore Provider in Kent, OH
• Providers in Kent, OH by specialty
• Chore Provider in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.