Ethel Nnanyelugo

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

376072 Issued in OH

Practice address

667 Harcourt Dr
Springdale, OH 45246

Phone

(513) 919-6341

NPI assigned

Oct 18, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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.

• Zenith Nursing Agency

  • Home Health Clinical Nurse Specialist
  • Cincinnati, OH
  • NPI 1124653282
  NPD (past)

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1386997161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 HARCOURT DR",
            "city": "SPRINGDALE",
            "state": "OH",
            "postal_code": "452461418",
            "telephone_number": "513-919-6341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 HARCOURT DR",
            "city": "SPRINGDALE",
            "state": "OH",
            "postal_code": "45246",
            "telephone_number": "513-919-6341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NNANYELUGO",
        "first_name": "ETHEL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "376072",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "OH",
            "license": "376072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameron D Mundon
• National Vision, Inc.
• Necco, LLC
• Tam Nguyen, PHARM D
• Donatus Nnanyelugo
• Helen Idoo Nyamor, RN
• Sumer Rayna Odom
• Ohio CVS Stores LLC
• Ohio CVS Stores LLC
• Nmesoma Precious Okafor, LPN

• All providers in Springdale, OH
• General Practice Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.