Organization Active NPI

Service First Healthcare

  • Licensed Practical Nurse
  • Williston, ND
National Provider Identifier
1245078823
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
Legal business name
SERVICE FIRST HEALTHCARE
Practice address
215 32ND St E Apt 203
Williston, ND 58801-5083
Phone
(404) 985-7025
NPI assigned
Jul 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Authorized official

Name
Miss Jolie Ipondo Akumby, NURSE
Title
LPN
Phone
(404) 985-7025

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164W00000X Primary
Nurse's Aide 376K00000X

Addresses

Primary practice location

215 32ND St E Apt 203
Williston, ND 58801-5083

Mailing address

215 32ND St E Apt 203
Williston, ND 58801-5083
Phone (404) 985-7025

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1245078823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 32ND ST E APT 203",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588015083",
            "telephone_number": "404-985-7025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 32ND ST E APT 203",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588015083",
            "telephone_number": "404-985-7025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICE FIRST HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "AKUMBY",
        "authorized_official_first_name": "JOLIE",
        "authorized_official_middle_name": "IPONDO",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "404-985-7025",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "NURSE"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.