Individual provider Active NPI

Odile Ngaha

  • Licensed Vocational Nurse
  • Richardson, TX
National Provider Identifier
1215407010
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
325599 Issued in TX
Practice address
430 Buckingham Rd Apt 1717
Richardson, TX 75081-5765
Phone
(214) 462-0685
NPI assigned
Dec 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 325599 TX Primary

Addresses

Primary practice location

430 Buckingham Rd Apt 1717
Richardson, TX 75081-5765

Mailing address

430 Buckingham Rd Apt 1717
Richardson, TX 75081-5765
Phone (214) 462-0685

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
325599TXMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1215407010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 BUCKINGHAM RD APT 1717",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750815765",
            "telephone_number": "214-462-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 BUCKINGHAM RD APT 1717",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750815765",
            "telephone_number": "214-462-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGAHA",
        "first_name": "ODILE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-05",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "325599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.