Active NPI
Patricia Wairimu Kibui, RN
- Licensed Practical Nurse
- Columbus, OH
National Provider Identifier
1396917308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN 113108
- Practice address
- 2983 Blackbird CT
Columbus, OH 43219-5029 - Phone
- (614) 475-9051
- Fax
- (614) 475-9051
- NPI assigned
- Mar 31, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN 113108 | OH | Primary |
Addresses
Primary practice location
2983 Blackbird CT
Columbus, OH 43219-5029
Mailing address
1418 Sharon Brook CT
Columbus, OH 43229
Phone (614) 270-0638
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN 113108 | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505347200000",
"number": "1396917308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1418 SHARON BROOK CT",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43229",
"telephone_number": "614-270-0638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2983 BLACKBIRD CT",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432195029",
"telephone_number": "614-475-9051",
"fax_number": "614-475-9051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIBUI",
"first_name": "PATRICIA",
"middle_name": "WAIRIMU",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-31",
"last_updated": "2017-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN 113108",
"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 Sep 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.