Organization Active NPI

Grace Wiredu

  • Registered Nurse
  • Reynoldsburg, OH
National Provider Identifier
1184931412
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
GRACE WIREDU
Practice address
641 Keltoncrest Dr
Reynoldsburg, OH 43068-9567
Phone
(614) 552-3912
NPI assigned
Sep 8, 2010
Last updated
Sep 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

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

Authorized official

Name
Miss Grace Wiredu
Title
RN
Phone
(614) 552-3912

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X Primary
Adult Care Home Facility 311ZA0620X 321869 OH

Addresses

Primary practice location

641 Keltoncrest Dr
Reynoldsburg, OH 43068-9567

Mailing address

641 Keltoncrest Dr
Reynoldsburg, OH 43068-9567

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1184931412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 KELTONCREST DR",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430689567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 KELTONCREST DR",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430689567",
            "telephone_number": "614-552-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE WIREDU",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "WIREDU",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "614-552-3912",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "OH",
            "license": "321869",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.