Individual provider Active NPI

Betty Elalai Waiswa

  • Registered Nurse
  • Columbus, OH
National Provider Identifier
1356727994
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
465050 Issued in OH
Practice address
5746 Forest Willow LN
Columbus, OH 43229-3767
Phone
(614) 500-0867
NPI assigned
Aug 5, 2015
Last updated
Mar 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 465050 OH Primary

Addresses

Primary practice location

5746 Forest Willow LN
Columbus, OH 43229-3767

Mailing address

5746 Forest Willow LN
Columbus, OH 43229-3767
Phone (614) 500-0867

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
465050OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1356727994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5746 FOREST WILLOW LN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293767",
            "telephone_number": "614-500-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5746 FOREST WILLOW LN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293767",
            "telephone_number": "614-500-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAISWA",
        "first_name": "BETTY",
        "middle_name": "ELALAI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-05",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "465050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.