Active NPI
Khadijah Jalufa Jalloh
- Registered Nurse
- Columbus, OH
National Provider Identifier
1235490715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 462850
- Practice address
- 765 Pierce Dr
Columbus, OH 43223-2425 - Phone
- (614) 223-1650
- NPI assigned
- May 31, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 462850 | OH | Primary |
Addresses
Primary practice location
765 Pierce Dr
Columbus, OH 43223-2425
Mailing address
765 Pierce Dr
Columbus, OH 43223-2425
Phone (614) 223-1650
Other practice location 1
5101 Wisconsin Ave NW
Suite 250
Washington, DC 20016-4120
Phone (202) 526-2400
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
| License | State | Type | Specialty |
|---|---|---|---|
| 462850 | OH | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nursing Enterprises, Inc. | Past | Accepting new patients | |
| Nursing Enterprises, Inc. | Past | 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.
-
- Home Health Agency
- Washington, DC
- NPI 1497037063
-
- Home Health Agency
- Washington, DC
- NPI 1548392665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568678400000",
"number": "1235490715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "765 PIERCE DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432232425",
"telephone_number": "614-223-1650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "765 PIERCE DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432232425",
"telephone_number": "614-223-1650"
}
],
"practiceLocations": [
{
"address_1": "5101 Wisconsin Ave NW",
"address_2": "Suite 250",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200164120",
"country_code": "US",
"telephone_number": "202-526-2400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JALLOH",
"first_name": "KHADIJAH",
"middle_name": "JALUFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-31",
"last_updated": "2019-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "462850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.