Independent Provider

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

Legal business name

INDEPENDENT PROVIDER

Practice address

3277 Kady LN
Columbus, OH 43232-7455

Phone

(614) 834-8519

NPI assigned

Sep 12, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Grace Iheoma Duru

Title

LPN

Phone

(614) 834-8519

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1265627111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3277 KADY LN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432327455",
            "telephone_number": "614-834-8519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3277 KADY LN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432327455",
            "telephone_number": "614-834-8519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT PROVIDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "DURU",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "IHEOMA",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "614-834-8519",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Licensed Vocational Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Independent Beginnings LLC
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• Independent Provider
• Independent Provider
• Independent Transportation Services LLC
• India'S Angels
• Individuals of Growth
• Industrial Occumed

• Licensed Vocational Nurse in Columbus, OH
• Providers in Columbus, OH by specialty
• Licensed Vocational Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.