Active NPI
Tigist Dagnew, RN
- Case Management Registered Nurse
- Blacklick, OH
National Provider Identifier
1255646642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- RN331702
- Practice address
- 8754 Greylag Loop
Blacklick, OH 43004-8332 - Phone
- (614) 565-2616
- NPI assigned
- Aug 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | RN331702 | OH | Primary |
Addresses
Primary practice location
8754 Greylag Loop
Blacklick, OH 43004-8332
Mailing address
8754 Greylag Loop
Blacklick, OH 43004-8332
Phone (614) 565-2616
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN331702 | OH | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281398400000",
"number": "1255646642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8754 GREYLAG LOOP",
"city": "BLACKLICK",
"state": "OH",
"postal_code": "430048332",
"telephone_number": "614-565-2616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8754 GREYLAG LOOP",
"city": "BLACKLICK",
"state": "OH",
"postal_code": "430048332",
"telephone_number": "614-565-2616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAGNEW",
"first_name": "TIGIST",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-10",
"last_updated": "2010-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "OH",
"license": "RN331702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blacklick, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.