Individual provider Active NPI

Comfort Doeyo Amenyah

  • Licensed Practical Nurse
  • Reynoldsburg, OH
National Provider Identifier
1306547419
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN.179501 Issued in OH
Practice address
7145 Havencroft Dr
Reynoldsburg, OH 43068-8237
Phone
(914) 338-2836
NPI assigned
Mar 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN.179501 OH Primary

Addresses

Primary practice location

7145 Havencroft Dr
Reynoldsburg, OH 43068-8237

Mailing address

7145 Havencroft Dr
Reynoldsburg, OH 43068-8237
Phone (914) 338-2836

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

LicenseStateTypeSpecialty
LPN.179501OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1306547419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7145 HAVENCROFT DR",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430688237",
            "telephone_number": "914-338-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7145 HAVENCROFT DR",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430688237",
            "telephone_number": "914-338-2836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMENYAH",
        "first_name": "COMFORT",
        "middle_name": "DOEYO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.179501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.