Individual provider Active NPI

Aminata Mansaray, AANPB-NP-C , RN-BSN

  • Family Nurse Practitioner
  • Grove City, OH
National Provider Identifier
1326272899
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F05210642 Issued in OH
Practice address
3886 Broadway Ste B
Grove City, OH 43123-2207
Phone
(614) 274-9092
Fax
(614) 547-0880
NPI assigned
May 12, 2009
Last updated
May 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 339001 OH
Family Nurse Practitioner 363LF0000X F05210642 OH Primary

Addresses

Primary practice location

3886 Broadway Ste B
Grove City, OH 43123-2207

Mailing address

1792 Brandigen LN
Columbus, OH 43228-3881
Phone (614) 353-3697

Other practice location 1

1792 Brandigen Ln
Columbus, OH 43228-3881
Phone (614) 354-9179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
339001OHMDRegistered Nurse
F05210642OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Medical Staffing Agency,LLC CurrentSince Oct 23, 2009 Accepting new patients

Locations

3886 Broadway
Ste B
Grove City, OH 43123
Phone (614) 274-9092

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1326272899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1792 BRANDIGEN LN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432283881",
            "telephone_number": "614-353-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3886 BROADWAY STE B",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232207",
            "telephone_number": "614-274-9092",
            "fax_number": "614-547-0880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1792 Brandigen Ln",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432283881",
            "country_code": "US",
            "telephone_number": "614-354-9179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANSARAY",
        "first_name": "AMINATA",
        "name_prefix": "Ms.",
        "credential": "AANPB-NP-C , RN-BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-12",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "339001",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "F05210642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

Verify at the official NPI Registry.