Individual provider Active NPI

Kebbeh Seyeanai Moluwoi, BS,BSN,RN

  • Registered Nurse
  • Bear, DE
National Provider Identifier
1326898735
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
L1-0072653 Issued in DE
Practice address
923 Rue Madora
Bear, DE 19701-2545
Phone
(610) 506-0915
NPI assigned
Mar 26, 2024
Last updated
Apr 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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 RN639674 PA
Registered Nurse 163W00000X L1-0072653 DE Primary

Addresses

Primary practice location

923 Rue Madora
Bear, DE 19701-2545

Mailing address

2007 Kater St
Philadelphia, PA 19146-1312
Phone (610) 506-0915

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
Bachelor of Science, Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
L1-0072653DEMDRegistered Nurse
RN639674PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Patelz CurrentSince Apr 9, 2024 Accepting new patients

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": "1711411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1326898735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 KATER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461312",
            "telephone_number": "610-506-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 RUE MADORA",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197012545",
            "telephone_number": "610-506-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLUWOI",
        "first_name": "KEBBEH",
        "middle_name": "SEYEANAI",
        "credential": "BS,BSN,RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN639674",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DE",
            "license": "L1-0072653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bear, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.