Concillia Kanyongo, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

397097 Issued in OH

Practice address

4075 Forest Edge Dr
Gahanna, OH 43230-1015

Phone

(614) 446-0166

NPI assigned

Oct 24, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Kanyongo

  • Adult Care Home Facility
  • Gahanna, OH
  • NPI 1467809889
  NPD (past) Authorized official

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382572800000",
    "number": "1376971630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4075 FOREST EDGE DR",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432301015",
            "telephone_number": "614-446-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4075 FOREST EDGE DR",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432301015",
            "telephone_number": "614-446-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANYONGO",
        "first_name": "CONCILLIA",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-24",
        "last_updated": "2013-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "397097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Marie Kakis, DPT
• Alpha Omar Kallon
• Kalyan Adult Daycare
• Jalahan Kamara
• Kanyongo
• Suman Karki
• Sarah M Kaufman, DPT
• Courtney Y. Kauh, M.D.
• Lindsey H Kauh, APRN-CNP
• Rosemari Susan Kauser, CRNA

• Registered Nurse in Gahanna, OH
• Providers in Gahanna, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; 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.