Active NPI
Gilbert Nyakundi Ogamba
- Case Management Registered Nurse
- Champlin, MN
National Provider Identifier
1265190722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- 2064714
- Practice address
- 8357 116TH Way N
Champlin, MN 55316-2725 - Phone
- (952) 228-1472
- NPI assigned
- Dec 2, 2021
- Sex
- Male
- 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 | 2064714 | MN | Primary |
Addresses
Primary practice location
8357 116TH Way N
Champlin, MN 55316-2725
Mailing address
9699 Knightsbridge Rd Apt 26
Eden Prairie, MN 55347-4317
Phone (952) 228-1472
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 |
|---|---|---|---|
| 2064714 | MN | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638403200000",
"number": "1265190722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9699 KNIGHTSBRIDGE RD APT 26",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553474317",
"telephone_number": "952-228-1472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8357 116TH WAY N",
"city": "CHAMPLIN",
"state": "MN",
"postal_code": "553162725",
"telephone_number": "952-228-1472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGAMBA",
"first_name": "GILBERT",
"middle_name": "NYAKUNDI",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-12-02",
"last_updated": "2021-12-02",
"certification_date": "2021-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Case Management",
"state": "MN",
"license": "2064714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Champlin, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.