Individual provider Active NPI

Kyle Hugo Ingledue

  • Licensed Practical Nurse
  • Columbus Grove, OH
National Provider Identifier
1386983518
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
150693 Issued in OH
Practice address
301 North High Street
Columbus Grove, OH 45830
Phone
(419) 296-5003
NPI assigned
Feb 7, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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 150693 OH Primary

Addresses

Primary practice location

301 North High Street
Columbus Grove, OH 45830

Mailing address

301 North High Street
Columbus Grove, OH 45830
Phone (419) 296-5003

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
150693OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1386983518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 NORTH HIGH STREET",
            "city": "COLUMBUS GROVE",
            "state": "OH",
            "postal_code": "45830",
            "telephone_number": "419-296-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 NORTH HIGH STREET",
            "city": "COLUMBUS GROVE",
            "state": "OH",
            "postal_code": "45830",
            "telephone_number": "419-296-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGLEDUE",
        "first_name": "KYLE",
        "middle_name": "HUGO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "150693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus Grove, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.